Mary Ann McDonnell MD PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

1583921205 Issued in UT

Legal business name

MARY ANN MCDONNELL MD PC

Practice address

301 North 200 East
Suite 1D
St George, UT 84770

Phone

(435) 628-3636

Fax

(435) 634-9216

NPI assigned

Dec 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mary Ann McDonnell, MD

Title

Owner MD PC

Phone

(435) 628-3636

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mary Ann McDonnell MD Other name

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831267145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 NORTH 200 EAST",
            "address_2": "SUITE 1D",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "84770",
            "telephone_number": "435-628-3636",
            "fax_number": "435-634-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NORTH 200 EAST",
            "address_2": "SUITE 1D",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "84770",
            "telephone_number": "435-628-3636",
            "fax_number": "435-634-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ANN MCDONNELL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCDONNELL",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "OWNER MD PC",
        "authorized_official_telephone_number": "435-628-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "UT",
            "license": "1583921205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "516523696034",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Ann McDonnell MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Samuel Dwaine Martineau
• Juliana Martinez Alarcon
• Jasmine Jade Martinez Vega
• Brian Martinez
• Benjamin Martins
• Matthew Vance Marziale
• Chancey Alexey Mason
• Jennifer Mason
• McKay Jordan Massey, NP
• Theresa D. Massey, LMFT

• Cardiovascular Disease Physician in St George, UT
• Providers in St George, UT by specialty
• Cardiovascular Disease Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.