Anna Macdougall, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601012674 Issued in MI

Practice address

419 W Wackerly St
Midland, MI 48640-2739

Phone

(989) 631-9515

NPI assigned

Aug 16, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1831921089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 AARON DR",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483562949",
            "telephone_number": "248-820-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W WACKERLY ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402739",
            "telephone_number": "989-631-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDOUGALL",
        "first_name": "ANNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601012674",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Jean Lynch, PHD
• Susan Elizabeth Lyon, MA, LPC
• Jenna Saige Lyons, MSN, APRN, CPNP-PC
• Meihui Ma, M.D.
• Lauren Macdonald
• Rebecca J Macfalda, M.S.
• Mary Claire Macinnes, WHNP-B.C., M.S.N
• Monica A Mackenzie, NPC
• Rebecca Macklem
• Sujay Madduri, M.D.

• Medical Physician Assistant in Midland, MI
• Providers in Midland, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.