MEDICARE: DR. THOMAS A. DONOHUE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	20898	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	00802	OTHER	KY	MEDICARE GROUP/ORGANIZATION PTAN #
4	1255586855	OTHER	KY	MEDICARE GROUP/ORGANIZATION NPI #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427082940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS A. DONOHUE M.D.

Provider Business Mailing Address
First Line	:	506 GRAHAM DR
Second Line	:	SUITE 230
City	:	TOMBALL
State	:	TX
Zip	:	77375-3346
Country	:	US
Telephone Number	:	281-378-5270
Fax Number	:	281-378-5272

Provider Business Practice Location Address
First Line	:	506 GRAHAM DR
Second Line	:	SUITE 230
City	:	TOMBALL
State	:	TX
Zip	:	77375-3346
Country	:	US
Telephone Number	:	281-378-5270
Fax Number	:	281-378-5272

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	06/24/2013

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Directions to “ DR. THOMAS A. DONOHUE M.D.” Practice Location

Language	Start Address	Practice Location

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