Healthcare Provider Details

I. General information

NPI: 1588056279
Provider Name (Legal Business Name): PATRICK SEAN DONAHUE MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2015
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE MLC 5018
CINCINNATI OH
45229-3039
US

IV. Provider business mailing address

3333 BURNET AVE MLC 2008 DIVISION OF EMERGENCY MEDICINE
CINCINNATI OH
45229-3039
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-4315
  • Fax:
Mailing address:
  • Phone: 513-636-7966
  • Fax: 513-636-7967

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.152346
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: