Active NPI
John J McDonald, PA
- Physician Assistant
- Lowell, MA
National Provider Identifier
1609834043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2089
- Practice address
- 1 Hospital Dr
Floor 4E
Lowell, MA 01852-1311 - Phone
- (978) 446-2793
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2089 | MA | Primary |
Addresses
Primary practice location
1 Hospital Dr
Floor 4E
Lowell, MA 01852-1311
Mailing address
PO Box 2200
Amherst, NH 03031-4200
Phone (603) 673-9411
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2089 | MA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LGH Professional Services LLC | Past | Accepting new patients | |
| DO Not Use - the Lowell General Hospital | Past | Accepting new patients | |
| The Lowell General Hospital | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/d04f75c7-2a62-4686-b520-7bf0635f38f0/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Lowell, MA
- NPI 1013983287
-
- Internal Medicine Physician
- Lowell, MA
- NPI 1417485541
-
- General Acute Care Hospital
- Lowell, MA
- NPI 1407804669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205452800000",
"number": "1609834043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2200",
"city": "AMHERST",
"state": "NH",
"postal_code": "030314200",
"telephone_number": "603-673-9411",
"fax_number": "603-673-9899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR",
"address_2": "FLOOR 4E",
"city": "LOWELL",
"state": "MA",
"postal_code": "018521311",
"telephone_number": "978-446-2793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "JOHN",
"middle_name": "J",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2008-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "2089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.