NPIMap

Individual provider Active NPI

Joel Douglas Macdonald, MD

  • Neurological Surgery Physician
  • Salt Lake City, UT
National Provider Identifier
1487744090
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
183354-1205 Issued in UT
Practice address
82 S 1100 E Ste 103
Salt Lake City, UT 84102-1889
Phone
(801) 505-5370
Fax
(801) 984-6657
NPI assigned
Oct 13, 2006
Last updated
Apr 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 183354-1205 UT Primary

Addresses

Primary practice location

82 S 1100 E Ste 103
Salt Lake City, UT 84102-1889

Mailing address

2660 E 3300 S Apt 19
Salt Lake City, UT 84109-2761
Phone (801) 244-6959

Other practice location 1

3590 W 9000 S Ste 240
West Jordan, UT 84088-8864
Phone (801) 505-5370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20050318000883 UT Practitioner - Neurosurgery 5991750267 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of North Carolina at Chapel Hill School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

3336 S 4155
West Valley City, UT 84120

3584 W 9000
Suite 209
West Jordan, UT 84088-5711
Phone (801) 903-5688

82 S 1100
Suite 103
Salt Lake City, UT 84102-1889
Phone (801) 505-5370

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion74
Laminectomy or laminotomy (partial removal of spine bones)14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Surgical Services Neurological Surgery CurrentSince Feb 1, 2015 Accepting new patients
University of Utah Adult Services Current Accepting new patients
University of Utah Surgical Services CurrentSince Feb 1, 2015 Accepting new patients
University of Utah Adult Services CurrentSince Feb 1, 2015 Accepting new patients
Physician Group of Utah Inc CurrentSince Dec 1, 2018 Accepting new patients
University of Utah Adult Services CurrentSince Feb 1, 2015 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince May 1, 2023 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince May 1, 2023 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Catholic Health Initiatives Colorado Neurological Surgery Past Accepting new patients
Medical Neuroscience Past Accepting new patients
Intermountain Ear,Nose, and Throat Specialists LLC Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

82 S 1100 E
Ste 103
Salt Lake Cty, UT 84102
Phone (801) 505-5370

175 N Medical Dr
Slc, UT 84112
Phone (801) 581-6908

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

2530 W 4700 S
Ste B8
Taylorsville, UT 84129
Phone (801) 967-5866

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

3584 W 9000 S
Ste 209
West Jordan, UT 84088
Phone (801) 676-3776

3590 W 9000 S
Ste 240
West Jordan, UT 84088
Phone (801) 505-5370

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1487744090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 E 3300 S APT 19",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841092761",
            "telephone_number": "801-244-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 S 1100 E STE 103",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021889",
            "telephone_number": "801-505-5370",
            "fax_number": "801-984-6657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3590 W 9000 S Ste 240",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840888864",
            "country_code": "US",
            "telephone_number": "801-505-5370",
            "fax_number": "801-984-6657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "JOEL",
        "middle_name": "DOUGLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "UT",
            "license": "183354-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.