MARK L DONOVAN M.D.
NPI 1417952250
Pediatrics in Johnson City, TN

Q: What is Mark Donovan's NPI number?

The NPI number for Mark Donovan is 1417952250. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Q: What is Mark Donovan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Donovan was last updated on January 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 17, 2005

301 MED TECH PKWY, STE. 160, JOHNSON CITY, TN 37604(423) 794-5560(423) 794-1801 Get Directions Write a Review

NPPES record last updated: January 18, 2016. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Mark L Donovan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK L DONOVAN M.D. (NPI 1417952250) is an individual pediatrics provider in Johnson City, Tennessee, licensed in Tennessee (18834) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1417952250

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameMARK L DONOVANCredential: M.D.

Location Address301 MED TECH PKWY, STE. 160Johnson City, TN 37604-2364

Mailing Address301 Med Tech Pkwy, Ste. 160Johnson City, TN 37604-2364 · (423) 794-5560 · Fax (423) 794-1801

Phone(423) 794-5560

Fax(423) 794-1801

Sole ProprietorNo

Enumeration DateJune 17, 2005

Last NPPES UpdateJanuary 18, 2016

✔ NPI 1417952250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TN · 18834

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

301 MED TECH PKWY, Johnson City, TN 37604

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Other Identifiers 3

Medicare UPIND93157TN

Medicaid3042289TN

Medicare PIN103I370076TN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHELLY J MCINTOSH FNP

Nurse Practitioner (Family)

301 MED TECH PKWY, SUITE 240
JOHNSON CITY, TN 37604

Washington County (423) 794-5520

ARIEL DENTON APN

Nurse Practitioner (Women's Health)

301 MED TECH PKWY, SUITE 200
JOHNSON CITY, TN 37604

Washington County (423) 794-1300

MICHAEL Z PEARSON MD

Internal Medicine

301 MED TECH PKWY, STE. 280
JOHNSON CITY, TN 37604

Washington County (423) 794-5550

TRACY ROMANS NP

Nurse Practitioner (Family)

301 MED TECH PKWY, SUITE 240
JOHNSON CITY, TN 37604

Washington County (423) 794-5888

MARK A WILLIAMS MD

Internal Medicine

301 MED TECH PKWY, STE 240
JOHNSON CITY, TN 37604

Washington County (423) 794-5520

BRIAN H DUNKELBERGER M.D.

Obstetrics & Gynecology

301 MED TECH PKWY, STE. 200
JOHNSON CITY, TN 37604

Washington County (423) 794-1300

AMBER C PLOUCHA NP-C

Nurse Practitioner

301 MED TECH PKWY, SUITE 240
JOHNSON CITY, TN 37604

Washington County (423) 794-5520

ERIN MCPHERSON

Registered Nurse (Lactation Consultant)

301 MED TECH PKWY, SUITE 160
JOHNSON CITY, TN 37604

Washington County (423) 794-5560

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Donovan's NPI number?

The NPI number for Mark Donovan is 1417952250. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Mark Donovan located?

Mark Donovan practices at 301 Med Tech Pkwy Ste. 160, Johnson City, TN 37604. The listed phone number is (423) 794-5560.

What is Mark Donovan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Mark Donovan was last updated on January 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.