Matthew J McDonald, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA4442 Issued in MA

Practice address

91 Montvale Ave
Suite 206
Stoneham, MA 02180-3623

Phone

(781) 835-2111

Fax

(781) 438-5588

NPI assigned

Jun 30, 2014

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 MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: matthewmcdonald@digestiveh.allscriptsdirect.net
• Direct secure messaging: mmcdonald35295@direct.bilh.masshiway.net

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.

• Digestive Health Associates P.C.

  • Gastroenterology Physician
  • Winchester, MA
  • NPI 1912941733
  Medicare reassignment
• Winchester Lahey Inpatient Specialists PLLC

  • Internal Medicine Physician
  • Winchester, MA
  • NPI 1144770629
  Medicare reassignment
• Winchester Hospital

  • General Acute Care Hospital
  • Winchester, MA
  • NPI 1790740777
  NPD (past)

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1235544073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 MONTVALE AVE",
            "address_2": "SUITE 206",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803623",
            "telephone_number": "781-835-2111",
            "fax_number": "781-438-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 MONTVALE AVE",
            "address_2": "SUITE 206",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803623",
            "telephone_number": "781-835-2111",
            "fax_number": "781-438-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MA",
            "license": "PA4442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary L Marino, HA179
• Jacqueline Elyse Marong, NP
• Andrew Joseph Mastrangelo, PT, DPT, NREMT
• Chantal Dolly McCarron, O.D.
• Paul Glen McCormick, PH.D.
• Patricia McGinnis
• Megan McGowan
• Anne McGrath
• Audrey Davis McGrath, LICSW
• Estelle K McInnis, CRNA

• Surgical Physician Assistant in Stoneham, MA
• Providers in Stoneham, MA by specialty
• Surgical Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.