Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark L Donovan, MD

Individual provider Pediatrics Physician · NPI 1417952250

Mark L Donovan, MD is a Pediatrics Physician in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2005.

Licensed in
TN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

301 Med Tech Pkwy Ste 160
Johnson City, TN 37604-2364
Phone: (423) 794-5560
Fax: (423) 794-1801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 18834 (TN)

Record details

NPI number1417952250
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2005
Last updated in NPPESJanuary 18, 2016
Mailing address301 Med Tech Pkwy, Ste. 160, Johnson City, TN 37604-2364

Other providers in Johnson City