Active NPI
Charles McDonald Jr., RRT
- Registered Respiratory Therapist
- Springfield, OR
National Provider Identifier
1558720458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- RTP10121581
- Practice address
- 1460 G St
Springfield, OR 97477-4112 - Phone
- (541) 726-4467
- NPI assigned
- Feb 19, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | RTP10121581 | OR | Primary |
Addresses
Primary practice location
1460 G St
Springfield, OR 97477-4112
Mailing address
515 Spruce CT
Creswell, OR 97426-9589
Phone (541) 285-7435
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
| License | State | Type | Specialty |
|---|---|---|---|
| RTP10121581 | OR | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455840000000",
"number": "1558720458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 SPRUCE CT",
"city": "CRESWELL",
"state": "OR",
"postal_code": "974269589",
"telephone_number": "541-285-7435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 G ST",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974774112",
"telephone_number": "541-726-4467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "CHARLES",
"name_suffix": "Jr.",
"credential": "RRT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-19",
"last_updated": "2016-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "OR",
"license": "RTP10121581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.