David R Donaldson M.D., PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

M9470 Issued in ID

Legal business name

DAVID R DONALDSON M.D., PLLC

Practice address

333 N 18TH Ave
St#B3
Pocatello, ID 83201

Phone

(208) 232-2146

Fax

(208) 232-2770

NPI assigned

Sep 11, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Debby Wilcox

Title

Manager

Phone

(208) 232-2146

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David R Donaldson, MD

  • Otolaryngology Physician
  • Pocatello, ID
  • NPI 1114914512
  NPD
• Jessica Bailey, PA

  • Surgical Physician Assistant
  • Pocatello, ID
  • NPI 1588909261
  NPD (past)

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530748800000",
    "number": "1689869836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N 18TH AVE",
            "address_2": "ST#B3",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013358",
            "telephone_number": "208-232-2146",
            "fax_number": "208-232-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N 18TH AVE",
            "address_2": "ST#B3",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "83201",
            "telephone_number": "208-232-2146",
            "fax_number": "208-232-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R DONALDSON M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2018-07-05",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "DEBBY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-232-2146",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "ID",
            "license": "M9470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jadyn Daniels
• Myrna Daniels, LMSW
• Ralph L Daniels
• Jeffrey M Davenport, PT
• Robert Davenport
• Joanna Kelley Davidson, M.S., R.D., L.D.
• Chad Arwyn Davies
• Pamela L. Davies, LCPC
• Patricia Davies, RN
• Pilar Davila, PHARMD

• Medical Specialty Clinic/Center in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Medical Specialty Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.