Mary Virginia Donald, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-324 Issued in AL

Practice address

400 Lem Morrison Dr
Auburn University, AL 36849-0001

Phone

(334) 844-4416

Fax

(334) 844-6126

NPI assigned

Jan 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Cardiology Associates of Mobile Inc

  dba Cardiology Associates / Eastern Shore Internal Medicine

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1861666711
  NPD (past)
• East Alabama Campus Health, LLC

  dba Auburn University Medical Clinic

  • Family Medicine Physician
  • Auburn, AL
  • NPI 1639323744
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689720070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3476",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368313476",
            "telephone_number": "334-844-4416",
            "fax_number": "334-844-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LEM MORRISON DR",
            "city": "AUBURN UNIVERSITY",
            "state": "AL",
            "postal_code": "368490001",
            "telephone_number": "334-844-4416",
            "fax_number": "334-844-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALD",
        "first_name": "MARY",
        "middle_name": "VIRGINIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA-324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Deas
• Nicholas Degrood
• Rebekah Blaire Dekerlegand
• Matthew Scott Dill
• Rebecca Elizabeth Dobson
• Kaitlyn Leigh Donalson
• Addison Michelle Duet
• Brooke Dugan
• Trace Dylan Easterling
• Westley Eccles

• Physician Assistant in Auburn University, AL
• Providers in Auburn University, AL by specialty
• Physician Assistant in Alabama

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.