Active NPI
Douglas G McDonald, MD
- Emergency Medicine Physician
- Elyria, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35-06-0485-M
- Practice address
- 630 E River St
Elyria, OH 44035-5902 - Phone
- (440) 329-7500
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35-06-0485-M | OH | Primary |
Addresses
Primary practice location
630 E River St
Elyria, OH 44035-5902
Mailing address
14050 NW 14TH St
Suite 190
Sunrise, FL 33323-2865
Phone (800) 424-3672
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0856211 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7715 W Ridgewood Dr
Parma, OH 44129-5553
Phone (440) 809-8132
9880 Murray Ridge Rd
Elyria, OH 44035-6957
Phone 44032263671032
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lorain County Health & Dentistry | Current | Accepting new patients | |
| County of Lorain Ohio | Current | Accepting new patients | |
| Hometown Urgent Care of Michigan, P.C. | Current | Accepting new patients | |
| Urgent Care Specialists, LLC | Current | Accepting new patients | |
| Lorain County Health & Dentistry | Current | Accepting new patients | |
| Lorain County Health & Dentistry | Current | Accepting new patients | |
| Hometown Urgent Care of Michigan, PC | Current | Accepting new patients | |
| Physicians Link Center LLC | Emergency Medicine | Past | Accepting new patients |
Locations
4300 Clime Rd
Ste 110
Columbus, OH 43228
Phone (614) 272-1100
105 Louden Ct
Elyria, OH 44035
9880 Murray Ridge Rd
Elyria, OH 44035
Phone (440) 322-6367
6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630
3745 Grove Ave
Lorain, OH 44055
Phone (440) 240-1901
1205 Broadway
Lorain, OH 44052
260 S Main St
Oberlin, OH 44074
7715 W Ridgewood Dr
Parma, OH 44129
Phone (440) 809-8132
1301 W 1st St
Springfield, OH 45504
Phone (937) 271-0066
Interoperability endpoints
- douglas.mcdonald.p11@direct.loraincountyhealth.nextgenshare.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Huber Heights, OH
- NPI 1114957123
-
- Public Health or Welfare Agency
- Elyria, OH
- NPI 1881725851
-
- Urgent Care Clinic/Center
- Huber Heights, OH
- NPI 1790030385
-
- Clinic/Center
- Lorain, OH
- NPI 1215194527
-
- Clinic/Center
- Elyria, OH
- NPI 1336484559
-
- Community/Retail Pharmacy
- Lorain, OH
- NPI 1871304550
-
- Clinical Medical Laboratory
- Indianapolis, IN
- NPI 1881358489
-
- Emergency Medicine Physician
- Elyria, OH
- NPI 1235172925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891723755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14050 NW 14TH ST",
"address_2": "SUITE 190",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232865",
"telephone_number": "800-424-3672",
"fax_number": "954-377-3042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 E RIVER ST",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440355902",
"telephone_number": "440-329-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "DOUGLAS",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35-06-0485-M",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0856211",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elyria, OH
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.