Active NPI
D D McDonald MD & Associates
- Family Medicine Physician
- Longview, TX
National Provider Identifier
1356679757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C5174
- Legal business name
- D D MCDONALD MD & ASSOCIATES
- Practice address
- 717 N 4TH St
Longview, TX 75601-5438 - Phone
- (903) 753-0306
- Fax
- (903) 753-0631
- NPI assigned
- Nov 23, 2009
- Last updated
- Feb 3, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Deward Dewitt McDonald, MD
- Title
- Physician/Officer
- Phone
- (903) 753-0306
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C5174 | TX | Primary |
Addresses
Primary practice location
717 N 4TH St
Longview, TX 75601-5438
Mailing address
717 N 4TH St
Longview, TX 75601-5438
Phone (903) 753-0306
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C5174 | Other | TX | STATE LISCENSE |
| 031317301 | Medicaid | TX |
Other names 1
- Dr. D.D. McDonald MD
National Provider Directory
National Provider DirectoryLocations
717 N 4th St
Longview, TX 75601
Phone (903) 753-0306
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Magnolia, TX
- NPI 1841524063
-
- Family Medicine Physician
- Longview, TX
- NPI 1134206303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265155200000",
"number": "1356679757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 N 4TH ST",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756015438",
"telephone_number": "903-753-0306",
"fax_number": "903-753-0631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 N 4TH ST",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756015438",
"telephone_number": "903-753-0306",
"fax_number": "903-753-0631"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "D D MCDONALD MD & ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-23",
"last_updated": "2010-02-03",
"status": "A",
"authorized_official_last_name": "MCDONALD",
"authorized_official_first_name": "DEWARD",
"authorized_official_middle_name": "DEWITT",
"authorized_official_title_or_position": "PHYSICIAN/OFFICER",
"authorized_official_telephone_number": "903-753-0306",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "C5174",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LISCENSE",
"identifier": "C5174",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "031317301",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dr. D.D. McDonald MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Longview, TX
- Locke Curfman, LPC
- Curtis Chiropractic Center PC
- Randy V Curtis, DC
- CVS Pharmacy Inc (CVS Pharmacy #6899)
- CVS Pharmacy Inc. (CVS Pharmacy #)
- John T D'Antoni, MD
- D&S Residential Services, LP (Chad Community Home)
- D&S Residential Services, LP (Honeysuckle Community Home)
- D&S Residential Services, LP (Thelma Community Home)
- Dexter Berlin Dafney, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.