Jennifer McDonald, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

OS-013394 Issued in PA

Practice address

390 Vineyard Way. Suite 501
Hood Building 500
West Grove, PA 19390-9261

Phone

(610) 869-4700

Fax

(610) 869-4790

NPI assigned

Aug 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Hospital of Philadelphia

  dba Care Network West Grove

  • Pediatrics Physician
  • West Grove, PA
  • NPI 1235214875
  NPD (past)
• Children's Hospital of Philadelphia

  dba Care Network HighPoint

  • Pediatrics Physician
  • Chalfont, PA
  • NPI 1629158803
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881603520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 VINEYARD WAY. SUITE 501",
            "address_2": "HOOD BUILDING 500",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193909261",
            "telephone_number": "610-869-4700",
            "fax_number": "610-869-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 VINEYARD WAY. SUITE 501",
            "address_2": "HOOD BUILDING 500",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193909261",
            "telephone_number": "610-869-4700",
            "fax_number": "610-869-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OS-013394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013711780001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Martens Jr., DPT
• Mary-Anne Ost MD LTD
• Suby Mathew, CRNP
• Dana Theresa Mazzetti, RBT
• Laura Elizabeth McCavera, DO
• Christine Marie McKeon, CRNP
• Kathleen Mecouch
• Medchiro, LLC
• Medchoice, Inc
• Theresa Renee Metanchuk, D.O.

• Pediatrics Physician in West Grove, PA
• Providers in West Grove, PA by specialty
• Pediatrics Physician in Pennsylvania

• 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.