Mary Katherine McDonald, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

28536 Issued in TN

Practice address

5211 Highway 153
Suite M
Hixson, TN 37343-4956

Phone

(423) 648-7667

Fax

(423) 648-6279

NPI assigned

Feb 20, 2006

Last updated

Jan 25, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mary K. McDonald MD PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Hixson, TN
  • NPI 1407944168
  Authorized official Same address or phone
• Chattanooga Center for Pain Medicine PC

  • Interventional Pain Medicine Physician
  • Hixson, TN
  • NPI 1760408207
  NPD (past)
• Pain Consultants of West Tennessee

  • Pain Medicine (Anesthesiology) Physician
  • Jackson, TN
  • NPI 1447446570
  NPD (past)

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1396710794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80883",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306080883",
            "telephone_number": "706-549-0151",
            "fax_number": "706-993-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 HIGHWAY 153",
            "address_2": "SUITE M",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434956",
            "telephone_number": "423-648-7667",
            "fax_number": "423-648-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "28536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "4097642",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00194880",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob B Maynard
• Charles L McBrayer, DDS
• Heather McBryar, O.D.
• Carley Lee McCloskey, NP
• Gabriel Alexander McCuiston, OD
• Meghan Elizabeth McDonough, PA
• Norman Earl McElheney, MD
• Joshua A McKinney, D.D.S
• MCM Rehabilitation LLC (Ati Physical Therapy)
• MCM Rehabilitation, LLC. (ATI Physical Therapy)

• Physical Medicine & Rehabilitation Physician in Hixson, TN
• Providers in Hixson, TN by specialty
• Physical Medicine & Rehabilitation Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.