Organization Active NPI

Tom McDonald MD PLLC

  • Internal Medicine Physician
  • Lexington, TN
National Provider Identifier
1235561291
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD0000023828 Issued in TN
Legal business name
TOM MCDONALD MD PLLC
Practice address
270 W Church St
Suite a
Lexington, TN 38351-2077
Phone
(731) 968-9965
Fax
(731) 968-1940
NPI assigned
Aug 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Authorized official

Name
Thomas Christopher McDonald, M.D.
Title
Owner
Phone
(731) 968-9965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD0000023828 TN Primary

Addresses

Primary practice location

270 W Church St
Suite a
Lexington, TN 38351-2077

Mailing address

270 W Church St
Suite a
Lexington, TN 38351-2077
Phone (731) 968-9965

Other identifiers 3

IdentifierTypeStateIssuer
4349329OtherTNBCBS
3725379MedicaidTN
103G709057OtherTNMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

270 W Church St
Ste A
Lexington, TN 38351
Phone (731) 968-0133

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1235561291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 W CHURCH ST",
            "address_2": "SUITE A",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383512077",
            "telephone_number": "731-968-9965",
            "fax_number": "731-968-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 W CHURCH ST",
            "address_2": "SUITE A",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383512077",
            "telephone_number": "731-968-9965",
            "fax_number": "731-968-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM MCDONALD MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-968-9965",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000023828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4349329",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3725379",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "103G709057",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.