Kent McDonald, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

06469 Issued in UT

Practice address

515 S 300 E
Suite #105
St George, UT 84770-3900

Phone

(435) 628-2814

Fax

(435) 674-7112

NPI assigned

Jan 12, 2006

Last updated

Mar 12, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in UT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

• Kent B McDonald M.D Perffesional

  • Internal Medicine Physician
  • St George, UT
  • NPI 1881862076
  Authorized official Same address or phone

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1093794554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S 300 E",
            "address_2": "SUITE #105",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703900",
            "telephone_number": "435-628-2814",
            "fax_number": "435-674-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S 300 E",
            "address_2": "SUITE #105",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703900",
            "telephone_number": "435-628-2814",
            "fax_number": "435-674-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "KENT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "06469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forrest Jason McDonald
• Hadley Kae McDonald, RBT
• Jennifer McDonald, CNM
• Kaden J McDonald
• Kayla D McDonald, APRN FNP-C
• Makala McDonald, FPSS, CM
• Meah McDonald
• Hadlee McElyea
• Clem Fenn McEwen
• Brent McFadden, PHARMD

• Specialist in St George, UT
• Providers in St George, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.