=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972503654
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DONOHOE AND ASSOCIATES INC PROFIT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/26/2005
-----------------------------------------------------
Last Update Date | 01/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6265 ARAPAHOE ST
-----------------------------------------------------
City | SHAWNEE
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66226-3239
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-422-7878
-----------------------------------------------------
Fax | 913-422-8877
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6265 ARAPAHOE ST
-----------------------------------------------------
City | SHAWNEE
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66226-3239
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-422-7878
-----------------------------------------------------
Fax | 913-422-8877
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | RN BILLING
-----------------------------------------------------
Name | MS. KRISTA MARIE WHEELER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 913-422-7878
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number | 4783360001
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------