Individual
MR. JOHN- PAUL DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1274 CONGRESS ST, PORTLAND, ME 04102-2111
(207) 774-1002
(207) 774-9002
Mailing address
1274 CONGRESS ST, PORTLAND, ME 04102-2111
(207) 774-1002
(207) 774-9002
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
—
—
225000000X
Orthotic Fitter
—
—
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007654
ANTHEM
ME
Enumeration date
12/18/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us