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CORNELIUS MICHAEL DONOHUE DPM NPI 1417014887


NPI Information

NPI: 1417014887
Provider Name: CORNELIUS MICHAEL DONOHUE, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Address:
748 CAMPWOODS RD
VILLANOVA, PA
ZIP 19085
Phone: (610) 293-1969
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Cornelius Michael Donohue, DPM is a foot and ankle surgery podiatrist in Villanova, PA. Cornelius Michael Donohue, DPM NPI is 1417014887. 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:

748 CAMPWOODS RD
VILLANOVA, PA
ZIP 19085-029
Phone: (610) 293-1969
Fax: (610) 293-1969

The enumeration date for this NPI number is 1/3/2007 and was last updated on 7/8/2007.


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
1213ES0103XPodiatristFoot & Ankle SurgerySC-001995-LPENNSYLVANIAYes

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
1T26993MEDICARE UPINPENNSYLVANIA
2000295MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
30508211MEDICAIDPENNSYLVANIA

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: 5/5/2024

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