# IVAN A. DONER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457300733
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS002544L | PA | Yes |

## Other

- **Enumeration date:** 05/06/2006
- **Last updated:** 06/19/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0007121900001 | — | PA |
| 05 | — | 0007121900003 | — | PA |
| 05 | — | 0007121900004 | — | PA |
| 01 | — | 0057944000 | IBC,KEYSTONE | PA |
| 01 | — | 00712190-02 | AMERICHOICE | PA |
| 01 | — | 049399 | HIGHMARK BLUE SHIELD | PA |
| 01 | — | 080104782 | RAILROAD MEDICARE | PA |
| 01 | — | 1025952 | KEYSTONE MERCY | PA |
| 01 | — | 1103032 | CIGNA | PA |
| 01 | — | 18170 | HEALTH PARTNERS | PA |
| 01 | — | 19193 | AETNA | PA |
| 01 | — | 3235 | CLEARCARE | PA |
| 01 | — | 408040 | UNITED HEALTHCARE | PA |
| 01 | — | 810159625 | PHCS | PA |
| 01 | — | PA0049560 | TRICARE | PA |