Organization
THOMAS A. DONOHUE, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA B. ATKINS (CREDENTIALING OFFICER)
(478) 737-0395
Entity
Organization
Contact information
Practice address
119 WEDDINGTON BRANCH RD, PIKEVILLE, KY 41501-3204
(606) 432-8008
(606) 432-8011
Mailing address
119 WEDDINGTON BRANCH RD, PIKEVILLE, KY 41501-3204
(606) 432-8008
(606) 432-8011
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
20898
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00802
MEDICARE PTAN NUMBER FOR NPI 1255586855
KY
01
—
00802010
MEDICARE PIN FOR INDIVIDUAL NPI 1427082940
KY
01
—
3810015629
WEST VIRGINIA MEDICAID FOR NPI # 1255586855
WV
05
—
64208986
—
KY
Enumeration date
11/24/2008
Last updated
09/13/2009
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