William D Donovan (NPI# 1689660490, PAC ID# 5799860888) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1689660490 |
| PAC ID by PECOS | 5799860888 |
| Professional Enrollment ID | I20120424000028 |
| Full Name | William D Donovan |
| Organization Legal Name | DIAGNOSTIC IMAGING SERVICES OF CT LLC |
| Address |
1 Towne Park Plz Norwich CT 06360-2247 |
| Phone Number | 2039492700 |
| Gender | M |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 3577465111 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070024 | WILLIAM W BACKUS HOSPITAL |
| 070025 | HARTFORD HOSPITAL |
| 070021 | WINDHAM COMMUNITY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 565 Long Hill Rd, Groton, CT 06340-4166 | 8604486736 | MERIDEN IMAGING CENTER INC |
| 435 Lewis Ave, Meriden, CT 06451-2101 | 2039492700 | MIDSTATE RADIOLOGY ASSOCIATES, LLC |
| 100 Grand St, New Britain, CT 06052-2016 | 2039492700 | MIDSTATE RADIOLOGY ASSOCIATES, LLC |
| 1 Towne Park Plz, Norwich, CT 06360-2247 | 2039492700 | DIAGNOSTIC IMAGING SERVICES OF CT LLC |
| 863 N Main St Ext, Midstate Imaging Center, Wallingford, CT 06492-2420 | MERIDEN IMAGING CENTER INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 89% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 99% |
| Organization Legal Name | DIAGNOSTIC IMAGING SERVICES OF CT LLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory G Iafrate | Diagnostic Radiology | Diagnostic Imaging Services of Ct LLC | 565 Long Hill Rd, Groton, CT 06340-4166 |
| Jason D Mayo | Diagnostic Radiology | Diagnostic Imaging Services of Ct LLC | 565 Long Hill Rd, Groton, CT 06340-4166 |
| Krishna Jaydev Patel | Diagnostic Radiology | Diagnostic Imaging Services of Ct LLC | 565 Long Hill Rd, Groton, CT 06340-4166 |
| Guillermo R Jimenez | Diagnostic Radiology | Diagnostic Imaging Services of Ct LLC | 565 Long Hill Rd, Groton, CT 06340-4166 |
| Eric R Gorny | Diagnostic Radiology | Diagnostic Imaging Services of Ct LLC | 565 Long Hill Rd, Groton, CT 06340-4166 |
| Jeffrey Takahashi | Diagnostic Radiology | Diagnostic Imaging Services of Ct LLC | 565 Long Hill Rd, Groton, CT 06340-4166 |
| Mitesh Trivedi | Diagnostic Radiology | Diagnostic Imaging Services of Ct LLC | 565 Long Hill Rd, Groton, CT 06340-4166 |
| Joel Gelber | Diagnostic Radiology | Diagnostic Imaging Services of Ct LLC | 565 Long Hill Rd, Groton, CT 06340-4166 |
| James Carroll | Diagnostic Radiology | Diagnostic Imaging Services of Ct LLC | 565 Long Hill Rd, Groton, CT 06340-4166 |
| Jignesh Mahendrakumar Modi | Diagnostic Radiology | Diagnostic Imaging Services of Ct LLC | 565 Long Hill Rd, Groton, CT 06340-4166 |
| Street Address |
1 TOWNE PARK PLZ |
| City | NORWICH |
| State | CT |
| Zip | 06360-2247 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John P Tauro | Neurology | Hartford Healthcare Medical Group Specialists LLC | 1 Towne Park Plz, Norwich, CT 06360-2247 |
| Mark J Hornyak | Neurology | Hartford Healthcare Medical Group Specialists LLC | 1 Towne Park Plz, Norwich, CT 06360-2247 |
| Julie Ann Martin | Nurse Practitioner | Internal Medicine Group LLC | 1 Towne Park Plz, Norwich, CT 06360-2247 |
| Derek R Smith | Neurology | Hartford Healthcare Medical Group Specialists LLC | 1 Towne Park Plz, Norwich, CT 06360-2247 |
| Hanna Kackielo | Internal Medicine | Internal Medicine Group LLC | 1 Towne Park Plz, Norwich, CT 06360-2247 |
| David Lee Tinklepaugh | Neurology | Hartford Healthcare Medical Group Specialists LLC | 1 Towne Park Plz, Norwich, CT 06360-2247 |
| Camille G Salame | Neurosurgery | 1 Towne Park Plz, Norwich, CT 06360-2247 | |
| Elcon D Levinson | Diagnostic Radiology | Neurology Associates, LLC | 1 Towne Park Plz, Norwich, CT 06360-2247 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jai Chakrabarti | Cardiovascular Disease (cardiology) | Norwich Cardiac Medicine LLC | 130 New London Turnpike, Norwich, CT 06360 |
| Amarillys Rodriguez | Family Practice | American Current Care Pa | 10 Connecticut Ave, Norwich, CT 06360-1502 |
| Edward S Lim | Ophthalmology | 40 Connecticut Ave, Norwich, CT 06360-1502 | |
| Angela L. Allen-peck | Psychologist, Clinical | Connecticut Neuropsychological Associates LLC | 40 Connecticut Ave, Norwich, CT 06360-1502 |
| Michela Muggeo | Psychologist, Clinical | Connecticut Neuropsychological Associates LLC | 40 Connecticut Ave, Norwich, CT 06360-1502 |
| Caleb P Peck | Psychologist, Clinical | Connecticut Neuropsychological Associates LLC | 40 Connecticut Ave, Norwich, CT 06360-1502 |
| Amy Masse | Psychologist, Clinical | Connecticut Neuropsychological Associates LLC | 40 Connecticut Ave, Norwich, CT 06360-1502 |
| Carol M Lahan | Clinical Social Worker | 276 Scotland Rd, Norwich, CT 06360-1600 | |
| Clifford D Stirba | Internal Medicine | 7 Cuprak Rd, Norwich, CT 06360-2007 | |
| Mahmoud S Okasha | Psychiatry | Comprehensive Psychiatric Care PC | 200 W Town St, Norwich, CT 06360-2112 |
| Find all physicians in zip 06360 | |||
| City | NORWICH |
| Zip Code | 06360 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | NORWICH + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on William D Donovan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.