Active NPI
Tom McDonald MD PLLC
- Internal Medicine Physician
- Lexington, TN
National Provider Identifier
1831392489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD0000023828
- Legal business name
- TOM MCDONALD MD PLLC
- Practice address
- 270 W Church St
Sutie a
Lexington, TN 38351-2077 - Phone
- (731) 968-9965
- Fax
- (731) 968-1940
- NPI assigned
- Jun 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas Christopher McDonald, M.D.
- Title
- Owner
- Phone
- (731) 968-9965
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 23828 | TN | |
| Internal Medicine Physician | 207R00000X | MD0000023828 | TN | Primary |
Addresses
Primary practice location
270 W Church St
Sutie a
Lexington, TN 38351-2077
Mailing address
270 W Church St
Suite a
Lexington, TN 38351-2077
Phone (731) 968-9965
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3725379 | Medicaid | TN | |
| 3725379 | Other | TN | MEDICARE PTAN |
Other names 1
- Tom McDonald MD PC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383868800000",
"number": "1831392489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 W CHURCH ST",
"address_2": "SUITE A",
"city": "LEXINGTON",
"state": "TN",
"postal_code": "383512077",
"telephone_number": "731-968-9965",
"fax_number": "731-968-1940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 W CHURCH ST",
"address_2": "SUTIE A",
"city": "LEXINGTON",
"state": "TN",
"postal_code": "383512077",
"telephone_number": "731-968-9965",
"fax_number": "731-968-1940"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOM MCDONALD MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-08",
"last_updated": "2013-11-08",
"status": "A",
"authorized_official_last_name": "MCDONALD",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "CHRISTOPHER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "731-968-9965",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TN",
"license": "23828",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TN",
"license": "MD0000023828",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3725379",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "3725379",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tom McDonald MD PC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Lexington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.