Provider Demographics
NPI:1932186004
Name:ALMOND, DONNA L (DO)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:L
Last Name:ALMOND
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:PO BOX 459
Mailing Address - Street 2:
Mailing Address - City:POPLAR BLUFF
Mailing Address - State:MO
Mailing Address - Zip Code:63902-0459
Mailing Address - Country:US
Mailing Address - Phone:573-222-7441
Mailing Address - Fax:573-222-7441
Practice Address - Street 1:221 PHYSICIANS PARK
Practice Address - Street 2:
Practice Address - City:POPLAR BLUFF
Practice Address - State:MO
Practice Address - Zip Code:63901-3956
Practice Address - Country:US
Practice Address - Phone:573-727-9080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-29
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR4C082085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR119761003Medicaid
MO241702646Medicaid
MO300117569OtherRAILROAD MEDICARE
MO949510001OtherWPS MEDICARE - MAC J5 PART B
222143OtherHEALTHLINK INC.
655009OtherFIRST HEALTH
MO130569OtherBCBS OF MO
1600702OtherUNITED HEALTHCARE
655009OtherFIRST HEALTH
MO241702646Medicaid