Denise Pauline Donovan, P.A.
Physician Assistant in Towson, MD. Individual provider (NPI-1).
NPI number1679624985
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1679624985
- Entity type
- Individual (NPI-1)
- Name
- Ms. Denise Pauline Donovan
- Credential
- P.A.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 15, 2007
- Last updated
- Jul 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | C0002074 | MD | Yes |
Practice location
515 Fairmount Ave Ste 500Towson, MD 21286-5466
Phone 410-494-1662 · Fax 410-494-1718
Mailing address
501 Fairmount Ave Ste 103Towson, MD 21286-5457
Phone 410-494-7920 · Fax 410-902-8247
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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