Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Thomas Robert Donovan Jr., NURSEANESTHETIST

Individual provider Certified Registered Nurse Anesthetist · NPI 1538286075

Mr. Thomas Robert Donovan Jr., NURSEANESTHETIST is a Certified Registered Nurse Anesthetist (CRNA) in Providence, Rhode Island. Qualified in 1990, 36 years ago. Practices with Lifespan Physician Group of Massachusetts Inc, a 457-clinician group. Licensed in Rhode Island.

Years since qualifying
36
Licensed in
RI
In the registry since
2007
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Practice location Address checks out

101 Dudley St
Providence, RI 02905-2401
Phone: (401) 274-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RNA 21489 (RI)

Record details

NPI number1538286075
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEANESTHETIST
Sole proprietorNo
NPI enumeratedMarch 22, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Lifespan Physician Group Of Massachusetts Inc — 457 clinicians
Accepts Medicare assignment Not indicated

Other providers in Providence