Jennifer S McDonald, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23771 Issued in AZ

Practice address

10450 E Riggs Rd, BLDG 6, Ste 114
Sun Lakes, AZ 85248-7758

Phone

(480) 505-2450

Fax

(480) 505-2465

NPI assigned

Nov 3, 2005

Last updated

Feb 10, 2022By the provider in NPPES

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 AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.mcdonald.1@27041.direct.athenahealth.com

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.

• Sun Lakes Family Physicians LLC

  • Family Medicine Physician
  • Sun Lakes, AZ
  • NPI 1952392581
  Medicare reassignment NPD
• Sun Lakes Health Care, PC

  • Adult Medicine Physician
  • Sun Lakes, AZ
  • NPI 1568641314
  NPD (past)

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1750372298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 E RIGGS RD, BLDG 6, STE 114",
            "city": "SUN LAKES",
            "state": "AZ",
            "postal_code": "852487758",
            "telephone_number": "480-505-2450",
            "fax_number": "480-505-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 E RIGGS RD, BLDG 6, STE 114",
            "city": "SUN LAKES",
            "state": "AZ",
            "postal_code": "852487758",
            "telephone_number": "480-505-2450",
            "fax_number": "480-505-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "23771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeside Internal Medicine, PLLC
• Deana Elaine Laster, BEHAVIORAL TECHNICIA
• Toh-Hoai W. Lim, I, M.D.
• Nancy Jane Martin, CCC-SP
• Murphy G McCarty, PT, DPT
• Michelle Therese McLaughlin, LMSW
• Mirsaidi PLLC
• Matine Mirsaidi, DPM
• Douglas Mitchell, D.P.T.
• Modern Sports Medicine LLC

• Family Medicine Physician in Sun Lakes, AZ
• Providers in Sun Lakes, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.