Michael Joseph Macdonald, DO

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

OS 6245 Issued in FL

Practice address

1223 Gateway Dr Ste 2H
Melbourne, FL 32901-2607

Phone

(321) 434-8878

Fax

(321) 434-8881

NPI assigned

Aug 19, 2005

Last updated

Oct 31, 2018By the provider in NPPES

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)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: mmacdonald23021@epicdirect.hf.org
• Direct secure messaging: mmacdonald73922@adventhealth.direct-ci.com

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1346232972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 GATEWAY DR STE 2H",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012607",
            "telephone_number": "321-434-8878",
            "fax_number": "321-434-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "FL",
            "license": "OS 6245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M & L Green Home Health LLC (Home Instead Senior Care)
• M3 Haven Inc. (Ellie Mental Health - Space Coast)
• Rosanto Agpaoa Macam, M.D.
• Andrea Nicole Macdonald, BA
• Josephine M Macdonald, CRNA
• Stephen Hugh Macdonald, DO
• Lidia Machado, CSA
• Janet Mack
• Michael James Mackay, D.M.D.
• John David Mackenney, DPM

• Occupational Medicine Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Occupational Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.