Mark Jeffrey McDonald, A.T.C.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

15777 Northline Rd
Suite 102
Southgate, MI 48195-2385

Phone

(734) 246-8125

Fax

(734) 246-8113

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Oakwood Healthcare Inc

  • Community/Retail Pharmacy
  • Westland, MI
  • NPI 1033128178
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114075892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15777 NORTHLINE RD",
            "address_2": "SUITE 102",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952385",
            "telephone_number": "734-246-8125",
            "fax_number": "734-246-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15777 NORTHLINE RD",
            "address_2": "SUITE 102",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952385",
            "telephone_number": "734-246-8125",
            "fax_number": "734-246-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MARK",
        "middle_name": "JEFFREY",
        "credential": "A.T.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracie Lynn McCully, MSW, LMSW
• Amanda Ruth McCutcheon
• Cailin Lashawn McDaniel
• Jennifer Anne McDannel, D.C.
• Alexandria Catherine McDonald, LLMSW
• Megan Marie McDonald
• Brendan McFarland, NURSE PRACTITIONER
• Kimberly-Ann Blair McFarland, LPC
• Matthew Stephen McGowan, LLMSW
• Mandi McGrath

• Athletic Trainer in Southgate, MI
• Providers in Southgate, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.