Jan McDonald, M.D.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

JAN MCDONALD, M.D.

Practice address

1134 N Road St
Ste 2
Elizabeth City, NC 27909-3365

Phone

(252) 331-5869

Fax

(252) 331-5906

NPI assigned

Nov 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jan A McDonald, M.D.

Title

Physician

Phone

(252) 331-5869

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• McDONALD DERMATOLOGY Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janice A McDonald, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Virginia Beach, VA
  • NPI 1306920830
  NPD

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1982884847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 N ROAD ST",
            "address_2": "STE 2",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093365",
            "telephone_number": "252-331-5869",
            "fax_number": "252-331-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 N ROAD ST",
            "address_2": "STE 2",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093365",
            "telephone_number": "252-331-5869",
            "fax_number": "252-331-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN MCDONALD, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "252-331-5869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891302X",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1302X",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "34D1040854",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McDONALD DERMATOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony W Jackson Sr., MD
• Kitarshyi Muldrow Jackson, PT
• Magan Jackson
• Margaret Denise Jackson
• Christina Jamieson, NP
• Jason a. Banks, D.D.S., P.a.
• Brooke L Jennings
• Courtney Williams Jennings, PHARM D.
• JK2C, LLC
• Courtney Johnson

• MOHS-Micrographic Surgery Physician in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• MOHS-Micrographic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.