Healthcare Provider Details

I. General information

NPI: 1457371254
Provider Name (Legal Business Name): DONAHUE FOOT AND ANKLE CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 02/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3731 PEARL RD
CLEVELAND OH
44109-2750
US

IV. Provider business mailing address

3731 PEARL RD
CLEVELAND OH
44109-2750
US

V. Phone/Fax

Practice location:
  • Phone: 216-459-8616
  • Fax: 216-459-0373
Mailing address:
  • Phone: 216-459-8616
  • Fax: 216-459-0373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number36002283
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM ELLIS DONAHUE JR.
Title or Position: PRESIDENT /OWNER
Credential: DPM
Phone: 216-459-8616