McDonald Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35052307 Issued in OH

Legal business name

MCDONALD PEDIATRICS LLC

Practice address

1960 Tamarack Rd
Newark, OH 43055-1363

Phone

(740) 344-8687

Fax

(740) 522-5110

NPI assigned

Nov 1, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Donna Jean McDonald, MD

Title

Owner Physician

Phone

(740) 344-8687

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• McDonald Pediatrics Doing business as

Locations

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1053302869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 TAMARACK RD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551363",
            "telephone_number": "740-344-8687",
            "fax_number": "740-522-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 TAMARACK RD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551363",
            "telephone_number": "740-344-8687",
            "fax_number": "740-522-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDONALD PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "740-344-8687",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35052307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2415603",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McDonald Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth McCroskey, LISW-S
• Nikee Dee McCualsky
• Katie Marie McCullough, LPN
• Susan L McCullough, RN
• Drew McDaniel
• Billie Jo McDonald
• Donna Jean McDonald, M.D.
• Stephen Craig McDonald, LSW, MA
• Eric McEvoy, BS, TO, CPST
• Jacob Jason McFarland

• Pediatrics Physician in Newark, OH
• Providers in Newark, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.