Active NPI
Cheryl McDonald, PA
- Physician Assistant
- Middletown, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 000864
- Practice address
- 400 Saybrook Rd
Suite 205
Middletown, CT 06457-4773 - Phone
- (860) 346-7738
- Fax
- (860) 347-2097
- NPI assigned
- Aug 9, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 000864 | CT | Primary |
Addresses
Primary practice location
400 Saybrook Rd
Suite 205
Middletown, CT 06457-4773
Mailing address
4 Farm Springs Rd
Prohealth Physicians
Farmington, CT 06032-2573
Phone (860) 284-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
385 Church St
Guilford, CT 06437-6003
Phone (203) 453-0361
95 Armory Rd
Stratford, CT 06614-1702
Phone (203) 384-3388
Hospital & facility affiliations
- Yale New Haven Health - Health at Home
- Yale-New Haven Hospital
- Middlesex Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 864 | CT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc | Current | Accepting new patients | |
| Northeast Medical Group, Inc. | Current | Accepting new patients | |
| Prohealth Physicians, Inc. | Physician Assistant | Past | Accepting new patients |
| Guilford Internal Medicine Group P.C. | Past | Accepting new patients |
Locations
385 Church St
Ste 101
Guilford, CT 06437
Phone (203) 453-0361
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
Interoperability endpoints
- cheryl.mcdonald.npi1902816812.phpct@direct.optumcare.masshiway.net
- cmcdonald612838@direct.ynhh.org
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
-
- Family Medicine Physician
- Farmington, CT
- NPI 1720194053
-
- Cardiovascular Disease Physician
- Fairfield, CT
- NPI 1366745267
-
- Rheumatology Physician
- Guilford, CT
- NPI 1730261389
-
- Family Medicine Physician
- Farmington, CT
- NPI 1003996463
Physician Assistant
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Middletown, CT
- NPI 1760454334
-
- Home Health Agency
- New Haven, CT
- NPI 1043217482
-
- Home Health Agency
- Milford, CT
- NPI 1407932056
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902816812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 FARM SPRINGS RD",
"address_2": "PROHEALTH PHYSICIANS",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060322573",
"telephone_number": "860-284-5200",
"fax_number": "860-284-5333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SAYBROOK RD",
"address_2": "SUITE 205",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064574773",
"telephone_number": "860-346-7738",
"fax_number": "860-347-2097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "CHERYL",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "000864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, CT
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.