Individual provider Active NPI

Jeffrey Hans McDonald

  • Massage Therapist
  • Petoskey, MI
National Provider Identifier
1457799793
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501000609 Issued in MI
Practice address
2206 Mitchell Park Dr Ste 14
Petoskey, MI 49770-8674
Phone
(231) 348-7777
NPI assigned
Jun 10, 2013
Last updated
Jun 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 7501000609 MI Primary

Addresses

Primary practice location

2206 Mitchell Park Dr Ste 14
Petoskey, MI 49770-8674

Mailing address

816 Arbor St
Harbor Springs, MI 49740-1202
Phone (231) 526-2064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7501000609MIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Abby D Center, Inc. Past Accepting new patients
Abby D Center, Inc. Massage Therapist PastSince Apr 9, 2010 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1457799793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 ARBOR ST",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497401202",
            "telephone_number": "231-526-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 MITCHELL PARK DR STE 14",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708674",
            "telephone_number": "231-348-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "JEFFREY",
        "middle_name": "HANS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501000609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.