Active NPI
Megan Bouchaise McDonald, M.D.
- Pediatrics Physician
- Randolph Afb, TX
National Provider Identifier
1801150305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- DR.0053432
- Practice address
- 221 3Rd St W
Randolph Afb, TX 78150-4800 - Phone
- (210) 916-9900
- NPI assigned
- Jun 28, 2012
- Sex
- Female
- 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 | DR.0053432 | CO | Primary |
Addresses
Primary practice location
221 3Rd St W
Randolph Afb, TX 78150-4800
Mailing address
221 3Rd St W
Randolph Afb, TX 78150-4800
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 |
|---|---|---|---|
| DR.0053432 | CO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henderson Pediatrics PLLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Henderson, NV
- NPI 1528817087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567555200000",
"number": "1801150305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 3RD ST W",
"city": "RANDOLPH AFB",
"state": "TX",
"postal_code": "781504800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 3RD ST W",
"city": "RANDOLPH AFB",
"state": "TX",
"postal_code": "781504800",
"telephone_number": "210-916-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "MEGAN",
"middle_name": "BOUCHAISE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-28",
"last_updated": "2019-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "DR.0053432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Randolph Afb, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.