Active NPI
Michael X McDonald, M.D.
- Pediatrics Physician
- Barberton, OH
National Provider Identifier
1730276767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35-050763
- Practice address
- 62 Conservatory Dr
Building D, Suite a
Barberton, OH 44203-9002 - Phone
- (330) 753-0345
- Fax
- (330) 753-0194
- NPI assigned
- Oct 10, 2006
- Last updated
- Dec 28, 2011
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35-050763 | OH | Primary |
Addresses
Primary practice location
62 Conservatory Dr
Building D, Suite a
Barberton, OH 44203-9002
Mailing address
62 Conservatory Dr
Building D, Suite a
Barberton, OH 44203-9002
Phone (330) 753-0345
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0595208 | Medicaid | OH |
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 |
|---|---|---|---|
| 35-050763 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital Medical Center of Akron | Past | Accepting new patients | |
| Children's Hospital Medical Center of Akron | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Akron Children's Home Care
- Home Infusion Agency
- Akron, OH
- NPI 1649485848
-
dba Akron Children's Hospital-Physician Group
- Pediatrics Physician
- Akron, OH
- NPI 1841328853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325030400000",
"number": "1730276767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 CONSERVATORY DR",
"address_2": "BUILDING D, SUITE A",
"city": "BARBERTON",
"state": "OH",
"postal_code": "442039002",
"telephone_number": "330-753-0345",
"fax_number": "330-753-0194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 CONSERVATORY DR",
"address_2": "BUILDING D, SUITE A",
"city": "BARBERTON",
"state": "OH",
"postal_code": "442039002",
"telephone_number": "330-753-0345",
"fax_number": "330-753-0194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "MICHAEL",
"middle_name": "X",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2011-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35-050763",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0595208",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Barberton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.