NPIMap

Organization Active NPI

Percy H, McDonald, M.D., P.C.

  • Specialist
  • Port Huron, MI
National Provider Identifier
1386877124
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301051044 Issued in MI
Legal business name
PERCY H, MCDONALD, M.D., P.C.
Practice address
1107 Stone St
Suite 4
Port Huron, MI 48060-3569
Phone
(810) 984-4400
Fax
(810) 984-1264
NPI assigned
Aug 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Percy H McDonald, M.D.
Title
Physician
Phone
(810) 984-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 4301051044 MI Primary

Addresses

Primary practice location

1107 Stone St
Suite 4
Port Huron, MI 48060-3569

Mailing address

1107 Stone St
Suite 4
Port Huron, MI 48060-3569
Phone (810) 984-4400

National Provider Directory

National Provider Directory

Locations

1107 Stone St
Ste 4
Port Huron, MI 48060
Phone (810) 984-4400

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1386877124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 STONE ST",
            "address_2": "SUITE 4",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603569",
            "telephone_number": "810-984-4400",
            "fax_number": "810-984-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 STONE ST",
            "address_2": "SUITE 4",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603569",
            "telephone_number": "810-984-4400",
            "fax_number": "810-984-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERCY H, MCDONALD, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "PERCY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "810-984-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301051044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.