Active NPI
William E Macdonnell, P.A.
- Physician Assistant
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0002492
- Practice address
- 1501 W Mount Royal Ave
Baltimore, MD 21217-4289 - Phone
- (410) 225-4118
- Fax
- (410) 225-0252
- NPI assigned
- May 5, 2006
- Last updated
- Mar 13, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0002492 | MD | Primary |
Addresses
Primary practice location
1501 W Mount Royal Ave
Baltimore, MD 21217-4289
Mailing address
3500 Boston St Ste J1
Baltimore, MD 21224-5723
Phone (410) 522-0001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22750 Newcut Rd
Suite D1B
Clarksburg, MD 20871-5333
Phone (301) 482-1000
9809 Main St
Suite 103
Damascus, MD 20872-2090
Phone (301) 482-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0002492 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Urgent Care, LLC | Current | Accepting new patients | |
| Atlantic Physician Services of Maryland, PC | Physician Assistant | Current | Accepting new patients |
| Maryland Institute College of Art | Current | Accepting new patients | |
| Atlantic Physician Services of Maryland, P.C. | Physician Assistant | Current | Accepting new patients |
| Dresnick Sterling Emergency Physicians of Maryland PA | Past | Accepting new patients | |
| Clarksburg Urgent Care LLC | Past | Accepting new patients | |
| Charles Emergency Physicians PA | Past | Accepting new patients |
Locations
1501 W Mount Royal Ave
Baltimore, MD 21217
Phone (410) 225-4118
1501 W Mount Royal Ave
Ste 2
Baltimore, MD 21217
Phone (410) 225-4118
201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651
5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714
22750 Newcut Rd
Ste D1B
Clarksburg, MD 20871
Phone (301) 302-8513
9809 Main St
Ste 103
Damascus, MD 20872
Phone (301) 482-1000
Organizations & group practices 9
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.
-
- Physician Assistant
- Baltimore, MD
- NPI 1174632376
-
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1477933141
-
- Urgent Care Clinic/Center
- Clarksburg, MD
- NPI 1164305181
-
- Health Service Clinic/Center
- Baltimore, MD
- NPI 1659090843
-
- Physician Assistant
- Wilmington, DE
- NPI 1730129594
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1588610166
-
- Urgent Care Clinic/Center
- Clarksburg, MD
- NPI 1235721556
-
- Emergency Medicine Physician
- Bel Air, MD
- NPI 1083664908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1225086994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 BOSTON ST STE J1",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212245723",
"telephone_number": "410-522-0001",
"fax_number": "410-522-0017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 W MOUNT ROYAL AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212174289",
"telephone_number": "410-225-4118",
"fax_number": "410-225-0252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONNELL",
"first_name": "WILLIAM",
"middle_name": "E",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0002492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.