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

Nicholas Donohue

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457884488

Nicholas Donohue is a Pain Management in Lees Summit, Missouri. Graduated from Medical College of Wisconsin in 2017, 9 years ago. Practices with Cameron Regional Medical Center Inc, a 67-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
9
Trained at
Medical College of Wisconsin
Licensed in
MO
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

2861 NE Independence Ave Ste 201
Lees Summit, MO 64064-2379
Phone: (816) 525-2840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4940 W 137th St Ste B, Leawood, KS 66224-3633 — (816) 525-2840

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X · Licence 2022037936 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457884488
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 6, 2017
Last updated in NPPESMarch 22, 2023
Certification dateMarch 22, 2023
Mailing address2861 Ne Independence Ave Ste 201, Lees Summit, MO 64064-2379

Medicare enrollment

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

Medicare specialtyPAIN MANAGEMENT
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2017 (9 years in practice)
Group practice Cameron Regional Medical Center Inc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Lees Summit