Carolyn Louise McDonald, FNP- C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.024586 Issued in OH

Practice address

60 North Ave Ste G10
Tallmadge, OH 44278-2011

Phone

(234) 867-6233

NPI assigned

Apr 27, 2019

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ohio Specialty Physicians CorporationGroup PAC ID 3476643479, 67 clinicians

Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aultman Hospital Hospital, Canton, OH, CCN 360084

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cmcdonald1399409@direct.ccf.org

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.

• Ohio Specialty Physicians Corporation

  • Surgery Physician
  • Canton, OH
  • NPI 1285745364
  Medicare reassignment Care Compare group NPD
• Summa Physicians LLC

  dba Summa Health Medical Group

  • Obstetrics & Gynecology Physician
  • Akron, OH
  • NPI 1235167719
  Medicare reassignment Care Compare group NPD
• University Hospitals Ahuja Medical Center, Inc

  dba UH Ahuja Medical Center

  • General Acute Care Hospital
  • Beachwood, OH
  • NPI 1609189604
  Medicare reassignment NPD
• Euclid Hospital Cleveland Clinic Health System

  dba cleveland clinic foundation

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD
• Ohio Specialty Physicians Corporation

  • Durable Medical Equipment & Medical Supplies
  • North Canton, OH
  • NPI 1972299063
  NPD
• Summa Physicians LLC

  dba Summa Health Medical Group

  • Obstetrics & Gynecology Physician
  • Barberton, OH
  • NPI 1235444050
  NPD
• Summa Physicians LLC

  dba Summa Health Medical Group

  • Geriatric Medicine (Internal Medicine) Physician
  • Uniontown, OH
  • NPI 1457662769
  NPD
• University Hospitals Ahuja Medical Center

  dba University Hospitals Ahuja Medical Center Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Beachwood, OH
  • NPI 1326522913
  NPD
• University Hospitals Ahuja Medical Center

  • Nurse Practitioner
  • Beachwood, OH
  • NPI 1982088027
  NPD

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

• Aultman Hospital

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1356366991
  Care Compare affiliation

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

{
    "created_epoch": "1556323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1447814215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 GORGE BLVD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443102408",
            "telephone_number": "234-312-5691",
            "fax_number": "234-312-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 NORTH AVE STE G10",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782011",
            "telephone_number": "234-867-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "CAROLYN",
        "middle_name": "LOUISE",
        "credential": "FNP- C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-27",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0377761",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Elizabeth Mathews, PH.D.
• Karen McCaffrey, SLP
• Nyasia McCraney
• Tedayla Jecarra McCraney
• Alexis Ann Margaret McDonald, LSW
• Rhonda McFarland, P.T.A.
• Laura McGhee, PT
• Ruth McGough, OTR/L
• Emily McKenna
• James S McMillen, PT

• Family Nurse Practitioner in Tallmadge, OH
• Providers in Tallmadge, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.