JAYNE DONOVAN (NPI# 1407172794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407172794 |
| Entity Type | Individual |
| Full Name | JAYNE DONOVAN |
| Credential | M.D. |
| Practice Address |
1575 Cambridge St Cambridge MA 02138-4308 |
| Practice Telephone | 6179526805 |
| Practice Fax Number | 6179526801 |
| Mailing Telephone | 6179526805 |
| Mailing Fax Number | 6179526801 |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2015-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 262918 | MA | Allopathic & Osteopathic Physicians |
| Y | 2081P0004X |
Physical Medicine & Rehabilitation Specialization: Spinal Cord Injury Medicine |
262918 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
1575 CAMBRIDGE ST |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02138-4308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992707178 | Youville Hospital & Rehabilitation Center | Long Term Care Hospital | 1575 Cambridge St, Cambridge, MA 02138-4308 | 2005-06-01 |
| 1649884289 | Miriam Anne Lautenschlager | Registered Nurse | 1575 Cambridge St, Cambridge, MA 02138-4308 | 2020-09-01 |
| 1144860081 | Sarah Catherine Moody-pourian | Speech-Language Pathologist | 1575 Cambridge St, Cambridge, MA 02138-4308 | 2020-01-08 |
| 1881244655 | Danielle Pastuszak | Physical Therapist | 1575 Cambridge St, Cambridge, MA 02138-4308 | 2019-09-13 |
| 1306494158 | Samantha Curran | Occupational Therapist | 1575 Cambridge St, Cambridge, MA 02138-4308 | 2019-08-26 |
| 1508329830 | Alyson Locke | Social Worker | 1575 Cambridge St, Cambridge, MA 02138-4308 | 2019-04-12 |
| 1578027124 | Christina Palmieri | Nurse Practitioner | 1575 Cambridge St, Cambridge, MA 02138-4308 | 2019-01-29 |
| 1013496389 | John Horras | Social Worker | 1575 Cambridge St, Cambridge, MA 02138 | 2018-08-08 |
| 1780179861 | Anne Marie Dattero | Social Worker | 1575 Cambridge St, Cambridge, MA 02138-4308 | 2018-06-29 |
| 1649769308 | Janet Rosenwasser | Social Worker | 1575 Cambridge St, Cambridge, MA 02138-4308 | 2018-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618610 | Khushboo Vijay Bhatia | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Mount Auburn Hospi, 330 Mt. Auburn Street, Cambridge, MA 02138 | 2020-08-06 |
| 1780204156 | Ashna Grover | Student in an Organized Health Care Education/Training Program | 330 Mt Auburn Street Mount Auburn Hospital, Internal Medicine Residency Program, Cambridge, MA 02138 | 2020-04-25 |
| 1790330298 | Cambridge Periodontics LLC | Dentist | 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 | 2019-08-02 |
| 1295389765 | Yulia Levit | Technician/Technologist | 1208 Massachussets Av, Cambridge, MA 02138 | 2019-08-01 |
| 1720645393 | Chinmay Tusharkumar Jani | Student in an Organized Health Care Education/Training Program | Mount Auburn Hospital, 330 Mt Auburn Street, Cambridge, MA 02138 | 2019-05-20 |
| 1386209831 | Alexander Ryan Walker | Internal Medicine | 300 Mount Auburn Street Mount Auburn Hospital, Dept. of Medicine, Cambridge, MA 02138 | 2019-05-09 |
| 1659844868 | Aimee Hsieh | Social Worker | 525 Mount Auburn Street, Cambridge, MA 02138 | 2019-01-10 |
| 1043733389 | Armida Fruzzetti | Psychologist | 900 Concord Avenue, Cambridge, MA 02138 | 2017-07-19 |
| 1174984827 | Jenna Mezin Schmid | Psychologist | 75 Mt Auburn St 4 East, Harvard University Health Services, Cambridge, MA 02138 | 2016-03-09 |
| 1316313208 | Kelly Abbott | Optometrist | 12 Eliot St., Cambridge, MA 02138 | 2015-08-14 |
| Find all providers in zip 02138 | ||||
| Taxonomy Code | 2081P0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Spinal Cord Injury Medicine |
| A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. ACGME Accredited Residency Program Requirements: 1 year of training with 3-5 years in relevant specialty for a total of 4-6 years. ABMS Approved Subspecialty Certificate: (Physical Medicine and Rehabilitation) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841466034 | Vidya Jayawardena | Physical Medicine & Rehabilitation | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2008-05-07 |
| 1013036250 | Elsa J Aguilera | Physical Medicine & Rehabilitation | Va Boston Healthcare System, 1400 Vfw Parkway, West Roxbury, MA 02132 | 2007-03-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.