CHARLES B DONOVAN MD NPI 1124077912

NPI Information

NPI: 1124077912
Provider Name: CHARLES B DONOVAN, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
7505 METRO BLVD STE 400
EDINA, MN
ZIP 55439
Phone: (612) 573-2200
Get Directions

Charles B Donovan, MD is a diagnostic radiology radiology in Edina, MN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Charles B Donovan, MD NPI is 1124077912. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7505 METRO BLVD STE 400
EDINA, MN
ZIP 55439
Phone: (612) 573-2200
Fax: (612) 573-2274

The NPI 1124077912 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 6/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	48603	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	34864100	MEDICAID	WISCONSIN
2	P00327700	OTHER	MINNESOTA	RAILROAD MEDICARE MN
3	0721050	MEDICAID	IOWA
4	16-04146	OTHER	MINNESOTA	MEDICA
5	99112184	OTHER	WISCONSIN	WI HEALTH INSURANCE RISK SHARING PLAN
6	P00327697	OTHER	WISCONSIN	RAILROAD MEDICARE WI
7	133042	OTHER	MINNESOTA	UCARE
8	HP63008	OTHER	MINNESOTA	HEALTHPARTNERS
9	2443230	OTHER	MINNESOTA	AMERICA'S PPO
10	505P3DO	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD
11	621966700	MEDICAID	MINNESOTA
12	1046956	OTHER	MINNESOTA	PREFERRED ONE
13	252817	OTHER	MINNESOTA	MIDLANDS CHOICE INC
14	9103415	OTHER	MINNESOTA	PHCS/MULTIPLAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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