MEDICARE: DR. THOMAS A DONOHUE MD

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	207P00000X	Emergency Medicine Physician	27327	SC
2	207P00000X	Emergency Medicine Physician	048889	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	52820215-011	OTHER	GA	BCBS GEORGIA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	10058624	OTHER	GA	AMERIGROUP
6	52820215-001	OTHER	GA	BCBS
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427099522
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS A DONOHUE MD

Provider Business Mailing Address
First Line	:	PO BOX 30490
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31410-0490
Country	:	US
Telephone Number	:	912-232-9700
Fax Number	:	912-232-9701

Provider Business Practice Location Address
First Line	:	5356 REYNOLDS ST
Second Line	:	201
City	:	SAVANNAH
State	:	GA
Zip	:	31405-6016
Country	:	US
Telephone Number	:	912-819-8187
Fax Number	:

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

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	10/28/2024

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Directions to “ DR. THOMAS A DONOHUE MD” Practice Location

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