Individual provider Active NPI

Judy L McDonald, M.D.

  • Obstetrics & Gynecology Physician
  • Hot Springs, AR
National Provider Identifier
1609860956
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
R3847 Issued in AR
Practice address
3604 Central Ave
Suite B
Hot Springs, AR 71913-6403
Phone
(501) 318-2929
Fax
(501) 318-2828
NPI assigned
Sep 1, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X R3847 AR Primary

Addresses

Primary practice location

3604 Central Ave
Suite B
Hot Springs, AR 71913-6403

Mailing address

PO Box 21250
Hot Springs, AR 71903-1250
Phone (501) 318-2929

Other identifiers 2

IdentifierTypeStateIssuer
114748001MedicaidAR
52149OtherARBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040209001183 AR Practitioner - Obstetrics/Gynecology 2365336625 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R3847ARMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Waldron Current Accepting new patients
Mercy Hospital Waldron CurrentSince Apr 29, 2019 Accepting new patients

Locations

1341 W 6th St
Waldron, AR 72958
Phone (479) 637-2136

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1609860956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21250",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719031250",
            "telephone_number": "501-318-2929",
            "fax_number": "501-318-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 CENTRAL AVE",
            "address_2": "SUITE B",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136403",
            "telephone_number": "501-318-2929",
            "fax_number": "501-318-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "JUDY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-01",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "R3847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114748001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "52149",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.