Harrison Mark McDonald DO PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2793 Issued in AZ

Legal business name

HARRISON MARK MCDONALD DO PLLC

Doing business as

Palo Verde Internal Medicine

Practice address

1851 Mesquite Ave
Suite 106
Lake Havasu City, AZ 86403-5677

Phone

(298) 208-4611

Fax

(928) 453-4645

NPI assigned

Apr 8, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Linda McDonald

Title

Office Manager

Phone

(928) 208-4611

Specialties & licenses 1

Addresses

Other names 1

• Palo Verde Internal Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harrison Mark McDonald, D.O.

  • Internal Medicine Physician
  • Lake Havasu City, AZ
  • NPI 1447251798
  Medicare reassignment Care Compare group NPD
• Haylee Younis, FNP-C

  • Family Nurse Practitioner
  • Lake Havasu City, AZ
  • NPI 1881041200
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1033435599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 MESQUITE AVE",
            "address_2": "SUITE 106",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035677",
            "telephone_number": "298-208-4611",
            "fax_number": "928-453-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 MESQUITE AVE",
            "address_2": "SUITE 106",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035677",
            "telephone_number": "298-208-4611",
            "fax_number": "928-453-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON MARK MCDONALD DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "928-208-4611",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "2793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palo Verde Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jesse Wilson Harker, D. D. S.
• Teresita S. Harmon, M.D.
• Harmony Health & Wellness Center PLLC (Harmony Health & Wellness Center)
• Andrea Kay Harrington, REGISTERED NURSE
• Susan Harris
• Morgan Harrison, FNP-C
• Chad Edward Hartley, MD
• Stephanie Hatch, SLP
• Peter Hattar, DMD
• Havasu Behavioral Health, LLC

• Internal Medicine Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.