John W McDonald, MD, PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME0039051 Issued in FL

Legal business name

JOHN W MCDONALD, MD, PA

Practice address

1770 37TH St
Vero Beach, FL 32960-4813

Phone

(772) 562-2929

Fax

(772) 562-2929

NPI assigned

Jan 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. John W McDonald, M.D.NPI 1043254964

Title

Owner

Phone

(772) 562-2929

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John W McDonald, M.D.

  • Dermatology Physician
  • Vero Beach, FL
  • NPI 1043254964
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1255601498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 37TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604813",
            "telephone_number": "772-562-2929",
            "fax_number": "772-562-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 37TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604813",
            "telephone_number": "772-562-2929",
            "fax_number": "772-562-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W MCDONALD, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-562-2929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME0039051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• William John Johns III, M.D.
• Jessica Johnson-Cook
• Catherine A Johnson, RN, BSN
• Chloe Johnson

• Dermatology Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.