Individual provider Active NPI

Philip B. McDonald, M.D.

  • Diagnostic Radiology Physician
  • Miami, FL
National Provider Identifier
1649411422
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036138773 Issued in IL
Practice address
3663 S Miami Ave
Miami, FL 33133-4253
Phone
(863) 299-1155
Fax
(718) 226-8335
NPI assigned
Mar 9, 2009
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Q6654 TX
Diagnostic Radiology Physician 2085R0202X 036138773 IL Primary
Diagnostic Radiology Physician 2085R0202X 2011-00487 NC
Diagnostic Radiology Physician 2085R0202X A139065 CA
Diagnostic Radiology Physician 2085R0202X MD2017-1066 NM
Diagnostic Radiology Physician 2085R0202X MD456544 PA
Diagnostic Radiology Physician 2085R0202X ME112464 FL
Diagnostic Radiology Physician 2085R0202X 276593 NY

Addresses

Primary practice location

3663 S Miami Ave
Miami, FL 33133-4253

Mailing address

PO Box 166474
Miami, FL 33116-6474
Phone (877) 448-8675

Other practice location 1

22 Corporate Plaza Dr
Newport Beach, CA 92660-7985
Phone (949) 722-7038

Other practice location 2

1800 E Park Ave
State College, PA 16803-6701
Phone (814) 231-7000 ext. 6764

Other practice location 3

2001 N Jefferson Ave
Mount Pleasant, TX 75455-2338
Phone (903) 577-6000

Other practice location 4

1700 Old Gatesburg Rd Ste 100
State College, PA 16803-2276
Phone (814) 278-3280

Other identifiers 2

IdentifierTypeStateIssuer
112360700MedicaidFL
5917420MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL, CA, NY, IL, OH, PA, NJ, TX, GA, NV, IN, IA, KS, WI, MN, MI, ME, AZ, NM, TN, MS, KY, AL24 enrollments
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 24

Enrollment IDStateProvider typePAC IDDetails
I20110824000524 NC Practitioner - Diagnostic Radiology 1759551088 Reassigns benefits to 1 organization
I20120803000389 FL Practitioner - Diagnostic Radiology 1759551088 Reassigns benefits to 14 organizations
I20151209001458 CA Practitioner - Diagnostic Radiology 1759551088 Reassigns benefits to 59 organizations
I20171014000023 NY Practitioner - Diagnostic Radiology 1759551088 Reassigns benefits to 23 organizations
I20180731003061 IL Practitioner - Diagnostic Radiology 1759551088 Reassigns benefits to 7 organizations
I20181017003183 OH Practitioner - Diagnostic Radiology 1759551088
I20181129001983 PA Practitioner - Diagnostic Radiology 1759551088 Reassigns benefits to 9 organizations
I20181211001949 NJ Practitioner - Diagnostic Radiology 1759551088 Reassigns benefits to 3 organizations
I20181211003079 TX Practitioner - Diagnostic Radiology 1759551088 Reassigns benefits to 15 organizations
I20190104001268 GA Practitioner - Diagnostic Radiology 1759551088 Reassigns benefits to 7 organizations
I20190225003219 NV Practitioner - Diagnostic Radiology 1759551088
I20201216001095 IN Practitioner - Diagnostic Radiology 1759551088 Reassigns benefits to 2 organizations
I20210113000505 IA Practitioner - Diagnostic Radiology 1759551088 Reassigns benefits to 1 organization
I20210113002675 KS Practitioner - Diagnostic Radiology 1759551088
I20210122002268 WI Practitioner - Diagnostic Radiology 1759551088
I20210128000486 MN Practitioner - Diagnostic Radiology 1759551088
I20210525000909 MI Practitioner - Diagnostic Radiology 1759551088 Reassigns benefits to 2 organizations
I20220104002264 ME Practitioner - Diagnostic Radiology 1759551088 Reassigns benefits to 4 organizations
I20240224000034 AZ Practitioner - Diagnostic Radiology 1759551088 Reassigns benefits to 1 organization
I20240401000093 NM Practitioner - Diagnostic Radiology 1759551088 Reassigns benefits to 2 organizations
I20240628000274 TN Practitioner - Diagnostic Radiology 1759551088 Reassigns benefits to 3 organizations
I20241106001013 MS Practitioner - Diagnostic Radiology 1759551088 Reassigns benefits to 3 organizations
I20250117003105 KY Practitioner - Diagnostic Radiology 1759551088 Reassigns benefits to 1 organization
I20250913000519 AL Practitioner - Diagnostic Radiology 1759551088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Connecticut School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Imaging Partners LLCGroup PAC ID 3971021353, 3 clinicians
RFC Radiology Associates LLCGroup PAC ID 8022141894, 33 clinicians
Radiology Regional Center P aGroup PAC ID 9638151756, 60 clinicians
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians
Monongahela Valley Hospital IncGroup PAC ID 0143117606, 41 clinicians
Lifebrite Hospital Group of Early LLCGroup PAC ID 7810263589, shared by 6 NPIs, 9 clinicians
Tallahassee Memorial Healthcare IncGroup PAC ID 6103724778, shared by 11 NPIs, 498 clinicians
Vesta Telemedicine Solutions PLLCGroup PAC ID 9638585706, 39 clinicians
North Star FM LPGroup PAC ID 1153591763, 22 clinicians
Zwanger and Pesiri Radiology Group LLPGroup PAC ID 5092700799, 93 clinicians
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians
Advanced Radiology and Interventional Associates IncGroup PAC ID 2163816448, 99 clinicians
Stockton Diagnostic ImagingGroup PAC ID 0749386894, 59 clinicians
Metropolitan Hospital AuthorityGroup PAC ID 3779775432, 50 clinicians
Katahdin Valley Health CenterGroup PAC ID 4880659903, 66 clinicians
Titus County Hospital DistrictGroup PAC ID 0143203257, 107 clinicians
QMG, LLCGroup PAC ID 2961590435, 30 clinicians
Community Medical Imaging IncGroup PAC ID 7810211067, 4 clinicians
Lawrence County Memorial HospitalGroup PAC ID 7517144249, shared by 4 NPIs, 33 clinicians
Bertrand Chaffee HospitalGroup PAC ID 0840273496, 32 clinicians
Norcal ImagingGroup PAC ID 7911099346, 79 clinicians
Kern Radiology Medical Group IncGroup PAC ID 7214826460, 94 clinicians
Valley Radiology Medical Associates IncGroup PAC ID 8022911809, 27 clinicians
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians
Open and Wide MRI LLCGroup PAC ID 2365418043, 2 clinicians
El Portal Radiation Oncology CenterGroup PAC ID 3678637378, 5 clinicians
Darin Rentz DO PCGroup PAC ID 7315333853, 131 clinicians
Desert Advanced Imaging Medical CenterGroup PAC ID 6406749613, 209 clinicians
All-American Teleradiology LLCGroup PAC ID 3678707338, 16 clinicians
Elite Imaging LLCGroup PAC ID 2466496880, shared by 3 NPIs, 126 clinicians
Flowers HB Medical Services LLCGroup PAC ID 6305290990, 139 clinicians
Advanced Imaging Center, Inc.Group PAC ID 6406808427, 9 clinicians
Scranton Hospitalist Physician Services LLCGroup PAC ID 7719163831, 46 clinicians
North Star MCD LLCGroup PAC ID 2668659434, 77 clinicians
North Star MRI of Frisco LPGroup PAC ID 2769574854, 72 clinicians
North Star FP LPGroup PAC ID 6800168576, 49 clinicians
North Star Diagnostic Imaging LLCGroup PAC ID 8729118021, 69 clinicians
Lubbock County Hospital DistrictGroup PAC ID 4385538941, 97 clinicians
Fresno Imaging CenterGroup PAC ID 2466553128, 127 clinicians
Yalobusha General HospitalGroup PAC ID 4486601648, 19 clinicians
Dynamic Radiology Tennessee PCGroup PAC ID 6204207798, 5 clinicians
Ancillary Services of Practice Associates PAGroup PAC ID 4981026192, 99 clinicians
Impression Imaging LLCGroup PAC ID 1759547979, 34 clinicians
Riverside Medical Clinic IncGroup PAC ID 2961492327, 173 clinicians
Radiologic Consultants, LTDGroup PAC ID 3971498841, 20 clinicians
Mississippi Hma Hospitalists LLCGroup PAC ID 5991972077, 55 clinicians
Washington Physician ServicesGroup PAC ID 6103719562, 106 clinicians
Radiology Associates of Murray PLLCGroup PAC ID 6608818828, 9 clinicians
Imaging Consultants of Central Illinois SCGroup PAC ID 6800275900, 12 clinicians
Regional Imaging AssociatesGroup PAC ID 7113372236, 22 clinicians
SMB Radiology P aGroup PAC ID 9234136060, 22 clinicians
Radiologica IncGroup PAC ID 8820337769, 46 clinicians
Fisher County Hospital DistrictGroup PAC ID 2163311465, shared by 4 NPIs, 27 clinicians
Diagnostic Radiological ImagingGroup PAC ID 4981680220, 52 clinicians
Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians
West Hills Open MRI and Imaging Center, IncGroup PAC ID 3274524319, 2 clinicians

Practice addresses (Care Compare)

Glendale, CA 91210
Phone (903) 663-4800

Yorba Linda, CA 92887
Phone (239) 936-2316

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-3261

1000 Meade St
Suite 101
Dunmore, PA 18512-3195
Phone (570) 504-2500

1163 Country Club Rd
Monongahela, PA 15063-1013
Phone (724) 997-3470

11740 Columbia St
Blakely, GA 39823-2574
Phone (229) 724-4282

1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Phone (850) 431-1155

1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (407) 738-4085

1337 9TH St
Manhattan Beach, CA 90266-6045
Phone (972) 497-2076

135 Ave G
Apalachicola, FL 32320-1613
Phone (850) 653-8853

1400 9TH Ave
Altoona, PA 16602-2415
Phone (814) 941-8811

1414 9TH Ave
Blair Medical Assocs
Altoona, PA 16602-2415
Phone (814) 946-1655

150 Sunrise Hwy
Suite E
Lindenhurst, NY 11757-2598
Phone (631) 225-7200

15775 Laguna Canyon Rd
Suite 140
Irvine, CA 92618-3190
Phone (949) 522-8120

163 River Oaks Dr
Suite 201
Canton, MS 39046-5324
Phone (601) 496-1000

1800 N California St
Stockton, CA 95204-6019
Phone (209) 943-2000

1801 E March LN
Suite A130
Stockton, CA 95210-6650
Phone 2094759871209474

1818 Albion St
Nashville, TN 37208-2918
Phone (615) 341-4000

188 Summer St
Dover Foxcroft, ME 04426-1129
Phone (207) 538-3700

2001 N Jefferson Ave
Mount Pleasant, TX 75455-2338
Phone (903) 577-6000

2054 Mylitta Walk
Gardena, CA 90249-1794
Phone (952) 905-5602

210 S Federal Hwy
Suite 403
Hollywood, FL 33020-6811
Phone (954) 927-1776

2200 N Section St
Sullivan, IN 47882-7523
Phone (812) 268-4311

2200 State St
Lawrenceville, IL 62439-1852
Phone (618) 943-1000

223 24TH St
Santa Monica, CA 90402-2515
Phone (952) 905-5602

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
139065CAMDMarriage & Family Therapist
ME112464FLMDDiagnostic Radiology Physician
036138773ILMDDiagnostic Radiology Physician
2011-00487NCMDDiagnostic Radiology Physician
MD2017-1066NMMDDiagnostic Radiology Physician
276593NYMDDiagnostic Radiology Physician
MD456544PAMDDiagnostic Radiology Physician
Q6654TXMDDiagnostic Radiology Physician

Practice roles (60 of 244)

OrganizationSpecialtyStatusNew patients
Katahdin Valley Health Center CurrentSince Jun 24, 2024 Accepting new patients
Associated Pathologists, LLC Current Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
North Star CN, LP CurrentSince Oct 15, 2025 Accepting new patients
Schuyler County Hospital District CurrentSince Apr 14, 2025 Accepting new patients
Scranton Hospitalist Physician Services LLC Diagnostic Radiology CurrentSince Apr 17, 2025 Accepting new patients
LCM Imaging Inc Diagnostic Radiology CurrentSince Jun 1, 2026 Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC CurrentSince Aug 15, 2024 Accepting new patients
North Star FP, LP CurrentSince Oct 15, 2025 Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC CurrentSince Aug 15, 2024 Accepting new patients
Bucksport Regional Health Center Family Medicine CurrentSince Sep 13, 2024 Accepting new patients
Outpatient Imaging, LLC Diagnostic Radiology CurrentSince Feb 1, 2023 Accepting new patients
Lubbock County Hospital District Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Titus County Hospital District CurrentSince Dec 27, 2024 Accepting new patients
Radiologica Inc. Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Norton Clark Physician Practices, LLC Family Medicine CurrentSince Jun 23, 2022 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jul 19, 2024 Accepting new patients
Ambulatory Pain and Disability Management Center LLC Current Accepting new patients
Mori Bean and Brooks Inc Body Imaging CurrentSince Jul 30, 2023 Accepting new patients
Dubois Regional Medical Center Diagnostic Radiology CurrentSince Feb 17, 2023 Accepting new patients
Bowes Imaging Center, LLC Diagnostic Radiology CurrentSince Apr 24, 2026 Accepting new patients
Fisher County Hospital District Current Accepting new patients
Nashville Bone and Joint PLLC CurrentSince Sep 1, 2025 Accepting new patients
Coastal Imaging Solutions LLC CurrentSince May 6, 2022 Accepting new patients
Synergy Orthopedic Specialists, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Sports Imaging Centers, LLC Diagnostic Radiology CurrentSince Apr 12, 2023 Accepting new patients
Arizona Advanced Imaging Center LLC CurrentSince Jun 1, 2019 Accepting new patients
Ancillary Services of Practice Associates PA Body Imaging CurrentSince Apr 1, 2025 Accepting new patients
Sedona Diagnostic Ultrasound LLC CurrentSince Mar 9, 2022 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
Mississippi Hma Hospitalists, LLC Diagnostic Radiology CurrentSince Dec 16, 2024 Accepting new patients
Prospect Health Access Network, Inc. Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Vsi Rad LLC Diagnostic Radiology CurrentSince Jan 4, 2022 Accepting new patients
Heart of Texas Community Health Center, Inc Family Medicine CurrentSince Sep 15, 2025 Accepting new patients
Advanced Imaging Center Inc CurrentSince Dec 10, 2023 Accepting new patients
Yalobusha General Hospital CurrentSince Oct 1, 2024 Accepting new patients
Mr Imaging Management LLC CurrentSince Jul 28, 2024 Accepting new patients
Radiology Associates of Wyoming Valley, Inc Body Imaging CurrentSince Sep 29, 2021 Accepting new patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
West Hills Open MRI & Imaging Center, Inc Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
North Star FM, LP CurrentSince Oct 15, 2025 Accepting new patients
County of Clay CurrentSince Mar 9, 2025 Accepting new patients
Schuyler County Hospital District CurrentSince Apr 14, 2025 Accepting new patients
Lifebrite Hospital Group of Early LLC CurrentSince Jan 13, 2024 Accepting new patients
Synergy Orthopedic Specialists, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Bucksport Regional Health Center CurrentSince Sep 13, 2024 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Jun 1, 2026 Accepting new patients
J-Preet Inc CurrentSince Mar 20, 2023 Accepting new patients
Northland Radiology Inc. CurrentSince May 14, 2021 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Aug 9, 2025 Accepting new patients
Shores Diagnostic LLC CurrentSince Aug 26, 2020 Accepting new patients
Open and Wide MRI LLC Diagnostic Radiology CurrentSince May 9, 2025 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
County of Clay CurrentSince Mar 9, 2025 Accepting new patients
Mobile Images Acquisition, LLC CurrentSince Nov 1, 2019 Accepting new patients
Mississippi Hma Hospitalists, LLC CurrentSince Dec 16, 2024 Accepting new patients
BTX Koi Inc CurrentSince Apr 1, 2023 Accepting new patients
Houston Premier Radiology Center Inc. CurrentSince Jan 1, 2022 Accepting new patients
Bertrand Chaffee Hospital CurrentSince Sep 16, 2025 Accepting new patients
Inview Imaging Diagnostics Inc a Professional Medical Corporation Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients

Locations (25 of 246)

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

5007 Summerville Rd
Phenix City, AL 36867
Phone (334) 323-3937

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

3450 Hillcrest Ave
Antioch, CA 94531
Phone (925) 757-2100

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

2301 Bahamas Dr
Bakersfield, CA 93309

3838 San Dimas St
Ste A120
Bakersfield, CA 93301
Phone (661) 328-9600

9330 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 325-6800

600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

2601 W Alameda Ave
Ste 101
Burbank, CA 91505
Phone (818) 843-7462

88 E Bonita Rd
Ste C
Chula Vista, CA 91910
Phone (619) 230-0855

1191 Phelps Ave
Coalinga, CA 93210
Phone (559) 897-5841

1401 Willow Pass Rd
Ste 110
Concord, CA 94520
Phone (925) 691-6432

2300 Clayton Rd
Ste 160
Concord, CA 94520
Phone (925) 825-7777

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

43563 State Highway 299 E
Fl River Mls, CA 96028
Phone (530) 336-5511

1849 Iron Point Rd
Ste 160
Folsom, CA 95630
Phone (916) 984-8102

2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234

39465 Paseo Padre Pkwy
Ste 1000
Fremont, CA 94538
Phone (310) 222-5015

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

6191 N Thesta St
Fresno, CA 93710
Phone (559) 435-7200

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7377/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir.yourcareuniverse.net/tenant/a7b918c3-56d9-410c-bec6-e3d86fde3f92
  • Direct secure messaging: pmcdonald219405@ummc.direct-ci.com

Organizations & group practices 270

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 270

Hospital & facility affiliations 33

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1649411422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 166474",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331166474",
            "telephone_number": "877-448-8675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 S MIAMI AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334253",
            "telephone_number": "863-299-1155",
            "fax_number": "718-226-8335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Corporate Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926607985",
            "country_code": "US",
            "telephone_number": "949-722-7038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 E Park Ave",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168036701",
            "country_code": "US",
            "telephone_number": "814-231-7000 x6764",
            "fax_number": "814-231-7098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 N JEFFERSON AVE",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "TX",
            "postal_code": "754552338",
            "country_code": "US",
            "telephone_number": "903-577-6000",
            "fax_number": "903-577-6245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Old Gatesburg Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168032276",
            "country_code": "US",
            "telephone_number": "814-278-3280",
            "fax_number": "814-231-7098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "PHILIP",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-09",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "Q6654",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036138773",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2011-00487",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A139065",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "MD2017-1066",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD456544",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME112464",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "276593",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112360700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5917420",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.