Patricia M McDonald, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001205 Issued in IA

Practice address

1601 NW 114TH Street
Suite 247
Clive, IA 50325-7036

Phone

(515) 222-7000

Fax

(515) 222-7036

NPI assigned

Jan 6, 2006

Last updated

Aug 29, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Boone County Hospital

  • Critical Access Hospital
  • Boone, IA
  • NPI 1467434225
  NPD (past)

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1437137783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-222-7000",
            "fax_number": "515-222-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NW 114TH STREET",
            "address_2": "SUITE 247",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503257036",
            "telephone_number": "515-222-7000",
            "fax_number": "515-222-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "PATRICIA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "970014831",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathleen McClanathan, ARNP
• Hannah Marissa McConnaha, PA-C
• Colton McConnell
• Logan Charles McCool
• Matt D McDermott, DPT
• Brett Russell McDonough, D.C.
• Vanessa Joann McKelvey
• Caitlin Marie McKenney, AUD
• Julie McLaren, ARNP
• Cynthia McLaughlin

• Physician Assistant in Clive, IA
• Providers in Clive, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.