Provider Demographics
NPI:1932211216
Name:DONOHUE, MARIANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIANNE
Middle Name:
Last Name:DONOHUE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5719 BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45224-2901
Mailing Address - Country:US
Mailing Address - Phone:513-367-1483
Mailing Address - Fax:513-367-1591
Practice Address - Street 1:177 LYNESS AVE
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:OH
Practice Address - Zip Code:45030-1572
Practice Address - Country:US
Practice Address - Phone:513-367-1483
Practice Address - Fax:513-367-1591
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35 054092207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH160028485OtherRR MEDICARE
OH0786494Medicaid
OH0786494Medicaid
OH4246851Medicare PIN