Active NPI
John W Macdonald, MD
- Family Medicine Physician
- Dayton, TX
National Provider Identifier
1245284256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- F7518
- Practice address
- 202 North Church Street
Dayton, TX 77535-2604 - Phone
- (936) 258-2634
- Fax
- (936) 258-7304
- NPI assigned
- May 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F7518 | TX | Primary |
Addresses
Primary practice location
202 North Church Street
Dayton, TX 77535-2604
Mailing address
202 North Church Street
Dayton, TX 77535-2604
Phone (936) 258-2634
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00LR46 | Other | TX | BLUE CROSS BLUE SHIELD |
| 3166859 | Other | TX | HMO BLUE |
| 5259005 | Other | TX | AETNA |
| 2814679010 | Other | TX | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212969600000",
"number": "1245284256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 NORTH CHURCH STREET",
"city": "DAYTON",
"state": "TX",
"postal_code": "775352604",
"telephone_number": "936-258-2634",
"fax_number": "936-258-7304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 NORTH CHURCH STREET",
"city": "DAYTON",
"state": "TX",
"postal_code": "775352604",
"telephone_number": "936-258-2634",
"fax_number": "936-258-7304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "JOHN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2008-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "F7518",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00LR46",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO BLUE",
"identifier": "3166859",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5259005",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2814679010",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.