Healthcare Provider Details
I. General information
NPI: 1861854275
Provider Name (Legal Business Name): JEFFREY BARRETT DONALDSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/24/2016
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 AKRON GENERAL AVE
AKRON OH
44307-2432
US
IV. Provider business mailing address
1 AKRON GENERAL AVE
AKRON OH
44307-2432
US
V. Phone/Fax
- Phone: 330-344-6000
- Fax:
- Phone: 330-344-6000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | 35.146493 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: