Individual provider Active NPI

David J McDonald, MD

  • Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
  • Ormond Beach, FL
National Provider Identifier
1104846815
Registry record updated Sep 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Neuroimaging (Psychiatry & Neurology) PhysicianTaxonomy code 2084D0003X
License
ME070742 Issued in FL
Practice address
8 Mirror Lake Dr
Ste a
Ormond Beach, FL 32174-3101
Phone
(386) 673-2500
Fax
(386) 673-3204
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0070742 FL
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician 2084D0003X ME070742 FL Primary

Addresses

Primary practice location

8 Mirror Lake Dr
Ste a
Ormond Beach, FL 32174-3101

Mailing address

8 Mirror Lake Dr
Ste a
Ormond Beach, FL 32174-3101
Phone (386) 673-2500

Other identifiers 1

IdentifierTypeStateIssuer
250565700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20040607001489 FL Practitioner - Neurology 9436132933 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Tufts University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Halifax Healthcare Systems IncGroup PAC ID 1254238090, 345 clinicians
Neurology Associates of Ormond Beach PAGroup PAC ID 1355324047, 8 clinicians

Practice addresses (Care Compare)

1041 Dunlawon Ave
Port Orange, FL 32127-7968
Phone (386) 322-4700

303 N Clyde Morris Blvd
Daytona BCH, FL 32114-2709

3300 E Halifax Crossing Blvd
Deltona, FL 32725-2911
Phone (386) 425-6100

8 Mirror Lake Dr
Suite a
Ormond Beach, FL 32174-3102
Phone 3866732500227

Hospital & facility affiliations

  • Halifax Health Medical Center Hospital, Daytona Beach, FL, CCN 100017
  • Halifax Health /Uf Health Medical Center of Delton Hospital, Deltona, FL, CCN 100330
  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0070742FLMDSpecialist
ME070742FLMDDiagnostic Neuroimaging (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Associates of Ormond Beach Current Accepting new patients
Neurology Associates of Ormond Beach PA Specialist CurrentSince Jul 8, 1996 Accepting new patients
Halifax Healthcare Systems Inc CurrentSince Jun 1, 2007 Accepting new patients
Halifax Healthcare Systems Inc Past Accepting new patients
Memorial Hospital Flagler Inc Past Accepting new patients

Locations

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

301 Memorial Medical Pkwy
Holly Hill, FL 32117
Phone (386) 231-3906

Use Ci1660
Orlando, FL 32886

8 Mirror Lake Dr
Ormond Beach, FL 32174
Phone (386) 673-2500

8 Mirror Lake Dr
Ste A
Ormond Beach, FL 32174
Phone (386) 673-2500

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGHCCA/Endpoint/DGHCCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DGHCCA

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506470400000",
    "number": "1104846815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MIRROR LAKE DR",
            "address_2": "STE A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743101",
            "telephone_number": "386-673-2500",
            "fax_number": "386-673-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MIRROR LAKE DR",
            "address_2": "STE A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743101",
            "telephone_number": "386-673-2500",
            "fax_number": "386-673-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2017-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0070742",
            "primary": false
        },
        {
            "code": "2084D0003X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": "FL",
            "license": "ME070742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250565700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.