MR. JACOB PAUL DONOVAN (NPI# 1467904078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467904078 |
| Entity Type | Individual |
| Full Name | MR. JACOB PAUL DONOVAN |
| Credential | PA-C |
| Practice Address |
6 Tsienneto Rd Ste 100 Derry NH 03038 |
| Mailing Address |
6 Buttrick Rd Ste 102 Londonderry NH 03053-3417 |
| Practice Telephone | 6035371300 |
| Mailing Telephone | 6035371300 |
| Enumeration Date | 2016-10-30 |
| Last Update Date | 2018-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6 TSIENNETO RD STE 100 |
| City | DERRY |
| State | NH |
| Zip Code | 03038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940802 | Douglas R Dreffer | Family Medicine | 6 Tsienneto Rd Ste 100, Derry, NH 03038 | 2005-05-27 |
| 1194257394 | Kimberly Bean | Physician Assistant | 6 Tsienneto Rd Ste 100, Derry, NH 03038-1595 | 2017-03-28 |
| 1962955849 | Margaret Donovan | Nurse Practitioner | 6 Tsienneto Rd Ste 100, Derry, NH 03038 | 2016-07-27 |
| 1457796633 | Alexia E Strzalka | Family Medicine | 6 Tsienneto Rd Ste 100, Derry, NH 03038 | 2013-05-01 |
| 1043518947 | Elizabeth R Shepard | Physician Assistant | 6 Tsienneto Rd Ste 100, Derry, NH 03038 | 2011-03-02 |
| 1255631248 | Halary Leblanc | Nurse Practitioner | 6 Tsienneto Rd Ste 100, Derry, NH 03038 | 2010-10-25 |
| 1013245240 | Emma Hales Dono | Physician Assistant | 6 Tsienneto Rd Ste 100, Derry, NH 03038 | 2009-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750922142 | Derry Surgical Center, LLC | Clinic/Center | 15 Tsienneto Road, Derry, NH 03038 | 2019-10-07 |
| 1265941769 | Shireen Kirata | Physician Assistant | Lahey Institute of Urology, Derry, 44 Birch Street, Derry, NH 03038 | 2017-09-27 |
| 1538615133 | Louise Dinsmore | Pharmacist | 48 East Broadway, Derry, NH 03038 | 2016-09-01 |
| 1295188852 | Lauren Manney | Pharmacist | 48 E. Broadway, Derry, NH 03038 | 2016-07-19 |
| 1396104857 | Simply Orthodontics, Nh, PC | Dentist | 8 Crystal Ave, Derry, NH 03038 | 2016-02-12 |
| 1659766996 | Beverly Stasia Weston | Adult Companion | 60 Frost Rd, Derry, NH 03038 | 2015-04-03 |
| 1639580038 | Tricia Lane | Nurse Practitioner | 1 Parkland Drive, Derry, NH 03038 | 2014-05-20 |
| 1841620382 | Rothenwitz Dental Partnership | Dentist | 19d Manchester Rd, Suite 3, Derry, NH 03038 | 2013-11-20 |
| 1184934978 | Colleen Summers | Nurse Practitioner | 6 Tsiennto Road, Suite 101ll, Derry, NH 03038 | 2010-10-14 |
| 1609016922 | Bethany Lynne Layne | Physical Therapist | 8 White Oak Lane, Derry, NH 03038 | 2009-02-26 |
| Find all providers in zip 03038 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366050841 | Richard Charity | Physician Assistant | 44 Adams Pond Rd, Derry, NH 03038-5013 | 2020-07-21 |
| 1871126581 | Ernest K Tabiri | Physician Assistant | 12 Fairway Dr Apt 1412, Derry, NH 03038-6156 | 2020-02-20 |
| 1265941769 | Shireen Kirata | Physician Assistant | Lahey Institute of Urology, Derry, 44 Birch Street, Derry, NH 03038 | 2017-09-27 |
| 1598281305 | Christina Jo Shaffer | Physician Assistant | 6 Tsienneto Rd Ste 300, Derry, NH 03038-1584 | 2017-08-15 |
| 1154976447 | Patrick James Carolan | Physician Assistant | 6 Tsienneto Rd, Derry, NH 03038-1584 | 2019-08-05 |
| 1801319710 | Justin Herbert Soule | Physician Assistant | 1 Parkland Dr, Derry, NH 03038-2746 | 2017-07-23 |
| 1194257394 | Kimberly Bean | Physician Assistant | 6 Tsienneto Rd Ste 100, Derry, NH 03038-1595 | 2017-03-28 |
| 1902279813 | Acadian Emergency Physicians, LLC | Physician Assistant | 1 Parkland Dr, Derry, NH 03038-2746 | 2015-11-02 |
| 1073981049 | Edward Morgenthau | Physician Assistant | 1 Parkland Dr, Derry, NH 03038-2746 | 2015-09-09 |
| 1518363415 | Adam J Lurgio | Physician Assistant | 6 Tsienneto Rd, Suite 100, Derry, NH 03038-1584 | 2014-11-05 |
| Find all providers in DERRY | ||||
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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.