Donald Mark Meduna, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

43138 Issued in CO

Practice address

10TH Medical Group
4102 Pinion Drive, Suite 100
Usaf Academy, CO 80840-4000

Phone

(719) 333-5171

Fax

(719) 333-5091

NPI assigned

Dec 14, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Diversified Radiology of Colorado, Inc

  • Diagnostic Radiology Physician
  • Lakewood, CO
  • NPI 1205923596
  NPD (past)
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1275518128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 3RD ST",
            "address_2": "# 1035",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801321035",
            "telephone_number": "719-488-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10TH MEDICAL GROUP",
            "address_2": "4102 PINION DRIVE, SUITE 100",
            "city": "USAF ACADEMY",
            "state": "CO",
            "postal_code": "808404000",
            "telephone_number": "719-333-5171",
            "fax_number": "719-333-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDUNA",
        "first_name": "DONALD",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "43138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Richard McDowell, RPH
• Gerald Thomas McGinty, DPT
• Andrew D McIlvoy
• Tammy Huffman McKenzie, MPT
• Bryant McNeill, M.D.
• Michael Allen Meeker, M.D.
• Cory Jonathan Middel, PT
• Annemarie K Miller, M.D.
• Monica Moody, N.P.
• Hillary Shey Mooney, LCSW

• Diagnostic Radiology Physician in Usaf Academy, CO
• Providers in Usaf Academy, CO by specialty
• Diagnostic Radiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.