NPIMap

Individual provider Active NPI

Harrison Mark McDonald, D.O.

  • Internal Medicine Physician
  • Lake Havasu City, AZ
National Provider Identifier
1447251798
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2793 Issued in AZ
Practice address
1923 McCulloch Blvd N
Suite 101
Lake Havasu City, AZ 86403
Phone
(928) 208-4611
Fax
(928) 453-4645
NPI assigned
Aug 9, 2005
Reactivated
Apr 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2793 AZ Primary

Addresses

Primary practice location

1923 McCulloch Blvd N
Suite 101
Lake Havasu City, AZ 86403

Mailing address

2360 Stroke Dr
Lake Havasu City, AZ 86406-7621
Phone (928) 486-1096

Other practice location 1

309 Lake Havasu Ave S
Lake Havasu City, AZ 86403-9309
Phone (928) 453-1970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100127000220 AZ Practitioner - Internal Medicine 9436249604 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harrison Mark McDonald DO PLLCGroup PAC ID 1153451372, 2 clinicians
Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

1923 McCulloch Blvd N
Suite 101
Lake Havasu City, AZ 86403-6120
Phone (928) 208-4611

309 Lake Havasu Ave S
Lake Havasu City, AZ 86403-9309
Phone (928) 453-1970

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue249
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2793AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Harrison Mark McDonald DO PLLC Internal Medicine CurrentSince Apr 1, 2010 Accepting new patients
Prescott Healthcare Solutions LLC CurrentSince Feb 2, 2026 Accepting new patients

Locations

2500 Canyon Rd
Ste A1
Bullhead City, AZ 86442
Phone (928) 704-4499

309 Lake Havasu Ave S
Lake Havasu City, AZ 86403
Phone (928) 453-1970

1923 McCulloch Blvd N
Ste 101
Lk Havasu Cty, AZ 86403
Phone (928) 208-4611

3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583

3251 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 772-2582

Interoperability endpoints

  • Direct secure messaging: harrison.mcdonald@pvim-az.direct.office.nextgen.com

Organizations & group practices 2

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1447251798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 STROKE DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864067621",
            "telephone_number": "928-486-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 MCCULLOCH BLVD N",
            "address_2": "SUITE 101",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "86403",
            "telephone_number": "928-208-4611",
            "fax_number": "928-453-4645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Lake Havasu Ave S",
            "address_purpose": "LOCATION",
            "city": "Lake Havasu City",
            "state": "AZ",
            "postal_code": "864039309",
            "country_code": "US",
            "telephone_number": "928-453-1970",
            "fax_number": "855-538-3082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "HARRISON",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "2793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

Verify at the official NPI Registry.