- Practice location
- 300 W Ottley Ave, Fruita, CO 81521-2118
- Phone
- 970-858-2119
- Fax
- 970-858-2743
- Last updated
- September 1, 2021
Derek Michael Donovan is an Emergency Medicine based in Fruita, CO. Derek Michael Donovan practices in Fruita, CO and has the professional credentials of MD. The NPI Number for Derek Michael Donovan is 1902293376 and holds a License No. DR.0067052 (CO). The current practice location address for Derek Michael Donovan is 300 W Ottley Ave, Fruita, CO 81521-2118 and can be reached out via phone at 970-858-2119 and via fax at 970-858-2743.
Provider Profile Details
- NPI Number
- 1902293376
- Provider Name
- Derek Michael Donovan
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 300 W Ottley Ave, Fruita, CO 81521-2118
- Phone Number
- 970-858-2119
- Fax Number
- 970-858-2743
- Primary Taxonomy
- Emergency Medicine · 207P00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 23, 2015
- Last Update Date
- September 1, 2021
- Certification Date
- September 1, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 300 W Ottley Ave
Fruita, CO 81521-2118 - City
- Fruita
- State
- Colorado
- Zip
- 81521-2118
- Phone Number
- 970-858-2119
- Fax Number
- 970-858-2743
Provider Business Mailing Address Details
- Address
- Po Box 130
Fruita, CO 81521-0130 - City
- Fruita
- State
- CO
- Zip
- 81521-0130
- Phone Number
- 970-858-2186
- Fax Number
- 970-858-2208
License Information
- License Number (1)
- DR.0067052
- License State (1)
- CO
- Taxonomy (1)
- Emergency Medicine · 207P00000X · Primary
- License Number (2)
- 18856
- License State (2)
- NH
- Taxonomy (2)
- Emergency Medicine · 207P00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Emergency Medicine providers near Fruita, CO
View all Emergency Medicine providers in Fruita →Frequently Asked Questions
What is the NPI number of Derek M Donovan, MD?
The NPI number of Derek M Donovan, MD is 1902293376. It was assigned on April 23, 2015 and is currently active in the NPPES registry.
What is the specialty of Derek M Donovan, MD?
Derek M Donovan, MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in CO under license number DR.0067052.
Where does Derek M Donovan, MD practice?
The practice location is 300 W Ottley Ave, Fruita, CO 81521-2118. The office can be reached at 970-858-2119 (phone) or 970-858-2743 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902293376 directly on the NPPES registry website.