Organization
DONAHUE FOOT AND ANKLE CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ELLIS DONAHUE JR. DPM (PRESIDENT /OWNER)
(216) 459-8616
Entity
Organization
Contact information
Practice address
3731 PEARL RD, CLEVELAND, OH 44109-2750
(216) 459-8616
(216) 459-0373
Mailing address
3731 PEARL RD, CLEVELAND, OH 44109-2750
(216) 459-8616
(216) 459-0373
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
36002283
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000564707
ANTHEM BLUE SHIELD
OH
05
—
0146934
—
OH
Enumeration date
07/21/2006
Last updated
02/18/2010
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