Active NPI
Ian Ross Donald, MD
- Obstetrics & Gynecology Physician
- Newport, OR
National Provider Identifier
1336283563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A24576
- Practice address
- 775 SW 9TH St Ste H
Newport, OR 97365-4876 - Phone
- (541) 574-4767
- Fax
- (541) 574-4747
- NPI assigned
- Feb 19, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A24576 | CA | Primary |
Addresses
Primary practice location
775 SW 9TH St Ste H
Newport, OR 97365-4876
Mailing address
775 SW 9TH St Ste H
Newport, OR 97365-4876
Phone (541) 574-4767
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010162464 | Other | ID | BLUE SHIELD |
| 000010162465 | Other | ID | BLUE SHIELD |
| B5667 | Other | ID | BLUE CROSS OF IDAHO |
| 002704900 | Medicaid | ID |
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": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406851200000",
"number": "1336283563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "775 SW 9TH ST STE H",
"city": "NEWPORT",
"state": "OR",
"postal_code": "973654876",
"telephone_number": "541-574-4767",
"fax_number": "541-574-4747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 SW 9TH ST STE H",
"city": "NEWPORT",
"state": "OR",
"postal_code": "973654876",
"telephone_number": "541-574-4767",
"fax_number": "541-574-4747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONALD",
"first_name": "IAN",
"middle_name": "ROSS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-19",
"last_updated": "2014-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A24576",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000010162464",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000010162465",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO",
"identifier": "B5667",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002704900",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newport, OR
- Regina Andrea Diel-Harley, CADC I, CRM
- Discovery Behavioral Health
- Discovery Counseling, Inc.
- DO Not Use (Lincoln County Health & Human Services)
- Heather Diane Dodge Hasselschwert, DPT
- Steve Brian Dooher, RPH
- Douglas a Chadwick DDS PC (Doug Chadwick DDS)
- Mary Stephanie Dowling, LPC
- Dpmbeckmannnror LLC
- Dr Daniel J Hyduchak OD PC (Newport Vision Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.