Basic Information
Provider Information
NPI: 1750743449
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DONEY
FirstName: LUKE
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9500 EUCLID AVE
Address2:  
City: CLEVELAND
State: OH
PostalCode: 441950001
CountryCode: US
TelephoneNumber: 2164442200
FaxNumber:  
Practice Location
Address1: 532 W PITTSBURGH ST
Address2:  
City: GREENSBURG
State: PA
PostalCode: 156012239
CountryCode: US
TelephoneNumber: 7248324000
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/22/2016
LastUpdateDate: 10/12/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/12/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XOS021029PAY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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