Active NPI
Sharon Gail McDonald, M.D.
- Dermatology Physician
- Sunset Hills, MO
National Provider Identifier
1659367803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- R7853
- Practice address
- 3844 S Lindbergh Blvd
Suite 240
Sunset Hills, MO 63127-1368 - Phone
- (314) 842-6630
- Fax
- (314) 842-7543
- NPI assigned
- Sep 23, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | R7853 | MO | Primary |
Addresses
Primary practice location
3844 S Lindbergh Blvd
Suite 240
Sunset Hills, MO 63127-1368
Mailing address
3844 S Lindbergh Blvd
Suite 240
Sunset Hills, MO 63127-1368
Phone (314) 842-6630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205018815 | Medicaid | MO |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R7853 | MO | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Groups LC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1285664268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659367803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3844 S LINDBERGH BLVD",
"address_2": "SUITE 240",
"city": "SUNSET HILLS",
"state": "MO",
"postal_code": "631271368",
"telephone_number": "314-842-6630",
"fax_number": "314-842-7543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3844 S LINDBERGH BLVD",
"address_2": "SUITE 240",
"city": "SUNSET HILLS",
"state": "MO",
"postal_code": "631271368",
"telephone_number": "314-842-6630",
"fax_number": "314-842-7543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "SHARON",
"middle_name": "GAIL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MO",
"license": "R7853",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205018815",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sunset Hills, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.