Provider Demographics
NPI:1922007293
Name:DONEY, THOMAS J (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:J
Last Name:DONEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3550 MAIN ST STE 302
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01107-1088
Mailing Address - Country:US
Mailing Address - Phone:413-781-8290
Mailing Address - Fax:713-732-7628
Practice Address - Street 1:2 MEDICAL CENTER DR STE 512
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01107-1273
Practice Address - Country:US
Practice Address - Phone:413-781-8290
Practice Address - Fax:413-732-7794
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA49492207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0161403Medicaid
MA130706OtherPILGRIM
MA114977OtherUS HEALTHCARE
MA07-04623OtherUNITED HEALTH CARE
MA11875OtherHEALTH NEW ENGLAND
MA160036252OtherRR MEDICARE
MA049492OtherTUFTS
MA000006312OtherBMC HEALTHNET
MA0010791OtherNEIGHBORHOOD HEALTH
MA073400872OtherTRICARE
MA484492OtherCONNECTICARE
MADON51763OtherBLUE SHIELD OF MASS
MAB99458Medicare UPIN
MA0161403Medicaid
MAN51763Medicare PIN