James R McDonnell, D.O.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

5101008369 Issued in MI

Practice address

872 Munson Ave Ste C
Traverse City, MI 49686-3638

Phone

(231) 590-8346

NPI assigned

Jun 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwest Michigan Surgical Group, P.C.

  • Surgery Physician
  • Traverse City, MI
  • NPI 1386659043
  Medicare reassignment NPD Authorized official
• Elk Rapids Medical Clinic, P.C.

  • Family Medicine Physician
  • Elk Rapids, MI
  • NPI 1639351984
  NPD

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1073517587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "872 MUNSON AVE STE C",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863638",
            "telephone_number": "231-935-8346",
            "fax_number": "231-935-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 MUNSON AVE STE C",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863638",
            "telephone_number": "231-590-8346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 6th St",
            "address_2": "Ste 208",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842360",
            "country_code": "US",
            "telephone_number": "231-935-2844",
            "fax_number": "231-935-2850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONNELL",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101008369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4402337",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca McDermondt, RN
• Kirsty Luise McDonald Rabb
• Elizabeth Ann McDonald, LPC
• Mandee McDonald, PT
• Meredith L McDonald, PA-C
• John Wismer McDougall, A.T.,C
• Ashley McDugald
• Thomas McElwee, MD
• Shannon McEnroe, MS, CCC-SLP
• John Paul McFadden, L.L.M.S.W.

• Surgery Physician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.