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Derek Donovan, PA-C

Physician Assistant in Moodus, CT · enumerated 2015 · practices at Mhs Primary Care Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417324930

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Registry record

Entity type Individual (Type 1)
Name Derek Donovan
Credential PA-C
Sex Male
Practice address 27 William F Palmer Rd, Moodus, CT, 06469
Phone (860) 873-1414
Fax (860) 358-8659
Enumeration date Sep 1, 2015
Last updated in NPPES Apr 12, 2017

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 0010-05911 (NC) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 003652 (CT) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Derek Donovan?
The National Provider Identifier (NPI) for Derek Donovan is 1417324930, a Type 1 (individual) record in the CMS NPPES registry.
Where does Derek Donovan practice?
The practice location on file with NPPES is in Moodus, CT. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-04-12.