Active NPI
Katherine McDonald, PA-C
- Medical Physician Assistant
- Birmingham, MI
National Provider Identifier
1962775361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 5601006299
- Practice address
- 35046 Woodward Ave
Suite 100
Birmingham, MI 48009-0964 - Phone
- (248) 647-9860
- Fax
- (248) 647-9864
- NPI assigned
- Feb 15, 2012
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5601006299 | MI | Primary |
Addresses
Primary practice location
35046 Woodward Ave
Suite 100
Birmingham, MI 48009-0964
Mailing address
35046 Woodward Ave
Suite 100
Birmingham, MI 48009-0964
Phone (248) 647-9860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2017 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421107200000",
"number": "1962775361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35046 WOODWARD AVE",
"address_2": "SUITE 100",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480090964",
"telephone_number": "248-647-9860",
"fax_number": "248-647-9864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35046 WOODWARD AVE",
"address_2": "SUITE 100",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480090964",
"telephone_number": "248-647-9860",
"fax_number": "248-647-9864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "KATHERINE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-15",
"last_updated": "2015-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MI",
"license": "5601006299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.