Active NPI
Malcolm Dwain McDonald, M.D.
- Adult Medicine Physician
- Hurst, TX
National Provider Identifier
1699724096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- C9069
- Practice address
- 500 Grapevine Hwy
Ste 106
Hurst, TX 76054-2707 - Phone
- (817) 514-6271
- Fax
- (817) 514-6278
- NPI assigned
- May 10, 2006
- Last updated
- Mar 17, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | C9069 | TX | Primary |
Addresses
Primary practice location
500 Grapevine Hwy
Ste 106
Hurst, TX 76054-2707
Mailing address
500 Grapevine Hwy
Ste 106
Hurst, TX 76054-2707
Phone (817) 514-6271
Other names 1
- Dr. M. Dwain McDonald
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 |
|---|---|---|---|
| C9069 | TX | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostex Consultants PLLC | Past | Accepting new patients | |
| Patheous Medical PLLC | Past | Accepting new patients | |
| Diagnostex, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Hurst, TX
- NPI 1003134024
-
- Specialist
- Bedford, TX
- NPI 1669487492
-
- Diagnostic Radiology Physician
- Leawood, KS
- NPI 1366121527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458172800000",
"number": "1699724096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 GRAPEVINE HWY",
"address_2": "STE 106",
"city": "HURST",
"state": "TX",
"postal_code": "760542707",
"telephone_number": "817-514-6271",
"fax_number": "817-514-6278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 GRAPEVINE HWY",
"address_2": "STE 106",
"city": "HURST",
"state": "TX",
"postal_code": "760542707",
"telephone_number": "817-514-6271",
"fax_number": "817-514-6278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "MALCOLM",
"middle_name": "DWAIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2016-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "TX",
"license": "C9069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "M.",
"last_name": "MCDONALD",
"middle_name": "DWAIN",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Hurst, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.