John Wismer McDougall, A.T.,C

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

550 Munson Ave
Traverse City, MI 49686-3580

Phone

(231) 935-8653

Fax

(231) 935-8609

NPI assigned

Apr 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811018930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 APOLLO DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848711",
            "telephone_number": "231-935-8653",
            "fax_number": "231-935-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 MUNSON AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863580",
            "telephone_number": "231-935-8653",
            "fax_number": "231-935-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOUGALL",
        "first_name": "JOHN",
        "middle_name": "WISMER",
        "name_prefix": "Mr.",
        "credential": "A.T.,C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsty Luise McDonald Rabb
• Elizabeth Ann McDonald, LPC
• Mandee McDonald, PT
• Meredith L McDonald, PA-C
• James R McDonnell, D.O.
• Ashley McDugald
• Thomas McElwee, MD
• Shannon McEnroe, MS, CCC-SLP
• John Paul McFadden, L.L.M.S.W.
• Nichole McFadden

• Athletic Trainer in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.