Individual provider Active NPI

Arthur Albert McDonald II, FNP

  • Family Nurse Practitioner
  • Avondale, AZ
National Provider Identifier
1992146369
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP4736 Issued in AZ
Practice address
11320 W Primrose Dr
Avondale, AZ 85392-3413
Phone
(623) 466-0658
NPI assigned
Jul 12, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP4736 AZ Primary

Addresses

Primary practice location

11320 W Primrose Dr
Avondale, AZ 85392-3413

Mailing address

10450 W McDowell Rd
Suite 101
Avondale, AZ 85392-4901
Phone (623) 935-1000

Other identifiers 1

IdentifierTypeStateIssuer
839614MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131111000815 AZ Practitioner - Nurse Practitioner 6305072802 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP4736AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
G & K Medical Associates, P.C. CurrentSince Sep 21, 2013 Accepting new patients

Locations

10450 W McDowell Rd
Ste 101
Avondale, AZ 85392
Phone (623) 337-8811

Interoperability endpoints

  • Direct secure messaging: arthur.mcdonald@gandkmed.directbygreenway.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1992146369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 W MCDOWELL RD",
            "address_2": "SUITE 101",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924901",
            "telephone_number": "623-935-1000",
            "fax_number": "623-935-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11320 W PRIMROSE DR",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853923413",
            "telephone_number": "623-466-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "ARTHUR",
        "middle_name": "ALBERT",
        "name_prefix": "Prof.",
        "name_suffix": "II",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-12",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "839614",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.