Stanton McDonald, MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

160908-1205 Issued in UT

Legal business name

STANTON MCDONALD, MD PC

Practice address

345 W 600 S Ste 120
Heber City, UT 84032-2283

Phone

(435) 654-1501

Fax

(435) 654-2030

NPI assigned

Dec 31, 2007

Organization subpart

No

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

Authorized official

Name

Stanton McDonald, MDNPI 1982636890

Title

President

Phone

(435) 654-1501

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stanton McDonald, M.D.

  • Family Medicine Physician
  • Heber City, UT
  • NPI 1982636890
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1497930200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 W 600 S STE 120",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840322283",
            "telephone_number": "435-654-1501",
            "fax_number": "435-654-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W 600 S STE 120",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840322283",
            "telephone_number": "435-654-1501",
            "fax_number": "435-654-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANTON MCDONALD, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "STANTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-654-1501",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "160908-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529741935038",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Heber City, UT
• Providers in Heber City, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.