Provider Demographics
NPI:1346293701
Name:DOONE, JAMES O (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:O
Last Name:DOONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1001 BELLEFONTAINE AVE
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45804-2800
Mailing Address - Country:US
Mailing Address - Phone:419-998-4575
Mailing Address - Fax:419-998-4586
Practice Address - Street 1:1211 E COLUMBUS ST
Practice Address - Street 2:
Practice Address - City:KENTON
Practice Address - State:OH
Practice Address - Zip Code:43326-1760
Practice Address - Country:US
Practice Address - Phone:419-675-0668
Practice Address - Fax:419-675-0669
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35064992207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0947980Medicaid
OHP00383586OtherRAIL ROAD CARE
OH0947980Medicaid
F70528Medicare UPIN