JOHN KEVIN DONAHUE (NPI# 1598797797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598797797 |
| Entity Type | Individual |
| Full Name | JOHN KEVIN DONAHUE |
| Credential | MD |
| Practice Address |
55 Lake Ave N Department of Cardiology Worcester MA 01655-0002 |
| Mailing Address |
Po Box 415348 Boston MA 02241-5348 |
| Practice Telephone | 5083343452 |
| Practice Fax Number | 5088564571 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
257122 | MA | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
257122 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110097208A | 05 | |
| OH | 2598587 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437690344 | John Joseph Donahue | Counselor | 55 Myers Ln, Schuylerville, NY 12871-1160 | 2017-03-10 |
| 1477961480 | John Donahue | Psychologist | 10630 Little Patuxent Pkwy Ste And209a, Columbia, MD 21044-3264 | 2014-07-23 |
| 1588620389 | John P Donahue | Occupational Therapist | 5150 Wardcliff Dr, East Lansing, MI 48823-3851 | 2006-04-21 |
| 1588660435 | John P Donahue | Radiology | 2909 Main St, Stratford, CT 06614-4960 | 2005-06-24 |
| 1952400061 | John Kopf Donahue | Pathology | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2006-09-22 |
| 1609813914 | John E Donahue | Pathology | 593 Eddy St, Department of Pathology Apc 12, Providence, RI 02903-4923 | 2006-06-02 |
| 1053373068 | John R Donahue | Orthopaedic Surgery | 1569 Medical Dr, Suite 200, Pottstown, PA 19464-3223 | 2006-04-05 |
| 1164409918 | John P Donahue | Ophthalmology | 150 E Manning St, Providence, RI 02906-5109 | 2005-12-22 |
| Street Address |
55 LAKE AVE N DEPARTMENT OF CARDIOLOGY |
| City | WORCESTER |
| State | MA |
| Zip Code | 01655-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556587 | James E Liebmann | Internal Medicine | 55 Lake Ave N, Hematology/oncology, Worcester, MA 01655-0002 | 2005-05-23 |
| 1518568732 | Justin Bullard | Psychologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-11-04 |
| 1346849825 | Meghan Moore | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-26 |
| 1174122899 | Jessica Goncalves Ferreira | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-23 |
| 1235746686 | Desiree Mytych | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-29 |
| 1659986248 | Rebecca Lynn Harris | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-10 |
| 1639781487 | Gabriella Kathleen Holland | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-21 |
| 1730791898 | Kerry Anne Benedict | Speech-Language Pathologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
| 1902418999 | Natasha R. Turner | Genetic Counselor, MS | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
| 1144830712 | Abbey Corsini | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205489713 | Darryl Sweeper Jr. | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Psychiatry, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-23 |
| 1225690530 | Ryan Zenevitch | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Family Medicine, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-08 |
| 1932688454 | Victoria Sayeg | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Pediatrics, Worcester, MA 01655 | 2018-08-07 |
| 1114425675 | Judith Dio Wentzell | Social Worker | Umassmemorial Medical Center, 55 Lake Ave North, Dept of Care Coordination, Worcester, MA 01655 | 2018-01-30 |
| 1861927386 | Muhammad Waqas Khan | Student in an Organized Health Care Education/Training Program | University of Massachusetts 55 North Lake Ave, Neurology, Worcester, MA 01655 | 2017-04-21 |
| 1861806192 | Qaiser Shamshir Khan | Psychiatry & Neurology | 55 Lake Ave N # S7-831, Worcester, MA 01655 | 2014-06-14 |
| 1073858981 | Heidi Glover | Nurse Practitioner | 55 Lake Ave North Dept. of Pedi-adolescent, Ummc University Campus, Worcester, MA 01655 | 2012-12-04 |
| 1972867992 | Anna Bjornsdottir | Psychiatry & Neurology | 55 Lake Av N, Worcester, MA 01655 | 2012-06-25 |
| 1245567676 | Steven Edward Mckinley | Nurse Practitioner | 55 Lake Ave. North, Umass Memorial Medical Center University Campus, Worcester, MA 01655 | 2009-11-05 |
| 1851582951 | Robin I Davidson | Neurological Surgery | 55 Lake Ave, North, Ummhc-univ Campus, Worcester, MA 01655 | 2007-08-05 |
| Find all providers in zip 01655 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750565842 | Heart Rhythm Specialists of Central Massachusetts, PC | Internal Medicine | 123 Summer St, Suite 635, Worcester, MA 01608-1216 | 2007-12-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194992834 | Vassilios James Bezzerides | Internal Medicine | 300 Longwood Ave # Enders12, Boston, MA 02115-5724 | 2008-05-12 |
| 1306857081 | Christopher A Clyne | Internal Medicine | 365 Highland Avenue, Fall River, MA 02720-3703 | 2006-08-10 |
| 1417949041 | Kimberly Anise Powers | Internal Medicine | 8 Hawthorne Pl, Suite 110, Boston, MA 02114-2335 | 2005-08-19 |
| 1669097275 | Zain Sharif | Internal Medicine | 55 Fruit St, Boston, MA 02114 | 2020-06-09 |
| 1285110908 | Pierre Qian | Internal Medicine | 75 Francis St, Boston, MA 02115-6106 | 2018-07-16 |
| 1447764253 | Cardiovascular Center At Tufts Medical Center, Inc. | Internal Medicine | 800 Washington St, Boston, MA 02111-1552 | 2017-12-01 |
| 1659894012 | Aharon Erez | Internal Medicine | 736 Cambridge St, Brighton, MA 02135-2907 | 2017-07-18 |
| 1568983179 | Allon Eyal | Internal Medicine | 185 Pilgrim Rd # Baker4, Boston, MA 02215-5324 | 2017-07-05 |
| 1811349673 | Audrey Dionne | Internal Medicine | 300 Longwood Ave, Cardiology Departement, Boston, MA 02115-5724 | 2016-07-05 |
| 1083000616 | Saagar Mahida | Internal Medicine | 75 Francis Street, Brigham and Women's Hospital, Boston, MA 02446 | 2015-04-10 |
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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.