Provider Demographics
NPI:1659349611
Name:GIEVERS-ZUNIGA, DONNA ANN (DPM)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:ANN
Last Name:GIEVERS-ZUNIGA
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:MRS
Other - First Name:DONNA
Other - Middle Name:ANN
Other - Last Name:GIEVERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:18111 PRINCE PHILIP DR
Mailing Address - Street 2:STE 328
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-1507
Mailing Address - Country:US
Mailing Address - Phone:301-785-7357
Mailing Address - Fax:
Practice Address - Street 1:18111 PRINCE PHILIP DR
Practice Address - Street 2:328
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1513
Practice Address - Country:US
Practice Address - Phone:301-570-3668
Practice Address - Fax:301-570-4770
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMD 01348213E00000X
MD01348213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD061368100Medicaid
DC010074M38Medicare PIN
MD061368100Medicaid
U90584Medicare UPIN
DCG02622M02Medicare PIN
DC0863510001Medicare NSC