Provider Demographics
NPI:1316905060
Name:DONEGAN, MARTHA FLORENCE (MD)
Entity type:Individual
Prefix:DR
First Name:MARTHA
Middle Name:FLORENCE
Last Name:DONEGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1922 THOMSON DR
Mailing Address - Street 2:STE D
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-1099
Mailing Address - Country:US
Mailing Address - Phone:434-845-7392
Mailing Address - Fax:434-845-1099
Practice Address - Street 1:1922 THOMSON DR
Practice Address - Street 2:STE D
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-1099
Practice Address - Country:US
Practice Address - Phone:434-845-7392
Practice Address - Fax:434-845-1099
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2020-02-28
Deactivation Date:2019-09-27
Deactivation Code:
Reactivation Date:2020-02-28
Provider Licenses
StateLicense IDTaxonomies
VA0101030801207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Not Answered207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005782023Medicaid
035803OtherANTHEM BLUE CROSS BLUE SH
050043737OtherRAILROAD MEDICARE