Individual provider Active NPI

John S Macdonald, MD

  • Internal Medicine Physician
  • Saint Johns, MI
National Provider Identifier
1215038906
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301038398 Issued in MI
Practice address
110 W Higham St
Saint Johns, MI 48879-1559
Phone
(989) 224-0646
Fax
(989) 224-0929
NPI assigned
Sep 26, 2006
Last updated
Mar 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301038398 MI Primary

Addresses

Primary practice location

110 W Higham St
Saint Johns, MI 48879-1559

Mailing address

110 W Higham St
Saint Johns, MI 48879-1559
Phone (989) 224-0646

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20071127000526 MI Practitioner - Internal MedicinePractitioner - Family Practice 8224127329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 W Higham St
St Johns, MI 48879-1559
Phone (989) 224-0646

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301038398MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns S. Mac Donald, MD PC Internal Medicine CurrentSince Nov 27, 2007 Accepting new patients

Locations

108 W Higham St
Saint Johns, MI 48879
Phone (989) 224-0646

110 W Higham St
Saint Johns, MI 48879
Phone (989) 224-0646

Organizations & group practices 1

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.

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1215038906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W HIGHAM ST",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488791559",
            "telephone_number": "989-224-0646",
            "fax_number": "989-224-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W HIGHAM ST",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488791559",
            "telephone_number": "989-224-0646",
            "fax_number": "989-224-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "JOHN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301038398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, MI

Sources for this page

Verify at the official NPI Registry.