Thomas L McDonald, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

04-21170 Issued in KS

Practice address

2214 Canterbury Dr
Ste. 312
Hays, KS 67601-2375

Phone

(785) 628-8218

Fax

(785) 628-8617

NPI assigned

Nov 18, 2005

Sex

Male

Sole proprietor

Yes

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.

• Juenemann Family Eyecare, PA

  • Optometrist
  • Phillipsburg, KS
  • NPI 1649482183
  NPD (past)
• Jerry K Popham, MD PC

  • Specialist
  • Denver, CO
  • NPI 1225162134
  NPD (past)

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 20, 2008.

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1366424913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676010160",
            "telephone_number": "785-628-8218",
            "fax_number": "785-628-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 CANTERBURY DR",
            "address_2": "STE. 312",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012375",
            "telephone_number": "785-628-8218",
            "fax_number": "785-628-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "THOMAS",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "04-21170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "611710",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachelle Martinson
• Shelby Mattke
• Lindsey Ellen Maxwell
• Alyssa Mayfield
• Kevin R McDonald, MD
• Jennifer Grace McDowell, MSN, APRN, FNP-C
• Katie M McWilliams, D.O.
• Maggie Mead, LMSW
• Med-Trans Corporation
• Med-Trans Corporation

• All providers in Hays, KS
• Ophthalmology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.