MEDICARE: NEIL FRANCIS DONOVAN

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	363AS0400X	Surgical Physician Assistant	PA30263	DC
2	363AS0400X	Surgical Physician Assistant	0110002504	VA

General Provider Information

NPI Number	:	1205982907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEIL FRANCIS DONOVAN

Provider Business Mailing Address
First Line	:	4600 MCAULEY PL STE 600
Second Line	:
City	:	BLUE ASH
State	:	OH
Zip	:	45242-4778
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1209 RICHMOND AVE STE 109
Second Line	:
City	:	STAUNTON
State	:	VA
Zip	:	24401-5069
Country	:	US
Telephone Number	:	540-885-0629
Fax Number	:	540-886-1204

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

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	01/23/2026

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Directions to “ NEIL FRANCIS DONOVAN ” Practice Location

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