MR. DAVID S MACNALLY (NPI# 1093753592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093753592 |
| Entity Type | Individual |
| Full Name | MR. DAVID S MACNALLY |
| Credential | PA C |
| Practice Address |
1620 E 12th St The Dalles OR 97058 |
| Mailing Address |
Po Box 1520 The Dalles OR 97058 |
| Practice Telephone | 5412969151 |
| Practice Fax Number | 5412964710 |
| Mailing Telephone | 5412969151 |
| Mailing Fax Number | 5412964710 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2008-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10003246 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 218112 | 05 |
| Street Address |
1620 E 12TH ST |
| City | THE DALLES |
| State | OR |
| Zip Code | 97058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639176613 | Katherine Williams Omer | Pediatrics | 1620 E 12th St, Ste 200, The Dalles, OR 97058-3213 | 2005-07-05 |
| 1093215287 | Richard John Friday | Social Worker | 1620 E 12th St, The Dalles, OR 97058-3213 | 2018-02-14 |
| 1891245999 | Sean Mchugh | Physician Assistant | 1620 E 12th St, The Dalles, OR 97058-3213 | 2016-10-12 |
| 1881067809 | Rebecca Jane Hudson | Nurse Practitioner | 1620 E 12th St, The Dalles, OR 97058-3213 | 2015-11-13 |
| 1457737355 | Kim Whitaker | Family Medicine | 1620 E 12th St, The Dalles, OR 97058 | 2015-08-03 |
| 1982012324 | Jordan Joseph Nagle | Family Medicine | 1620 E 12th St, The Dalles, OR 97058-3213 | 2014-07-29 |
| 1821410531 | Coleen C. Moreno | Social Worker | 1620 E 12th St, The Dalles, OR 97058 | 2014-01-15 |
| 1487076154 | Jessica A Radley | Nurse Practitioner | 1620 E 12th St, The Dalles, OR 97058-3213 | 2014-01-14 |
| 1356607931 | Johanna Clara Nesse | Nurse Practitioner | 1620 E 12th St, The Dalles, OR 97058-3213 | 2012-04-08 |
| 1598072167 | Meghan Coats Mcallister | Nurse Practitioner | 1620 E 12th St, Columbia Hills Family Medicine, The Dalles, OR 97058-3213 | 2010-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538646864 | Ashlee Kai Mcnamara | Behavior Technician | 2525 W 8th St., #34, The Dalles, OR 97058 | 2018-07-19 |
| 1548784689 | Mireya Moreno Ibarra | Behavior Technician | 401 East 3rd Street, Suite 101, The Dalles, OR 97058 | 2017-07-31 |
| 1407304991 | Joshua Seidel | Pharmacist | 515 Mt Hood St, The Dalles, OR 97058 | 2016-09-14 |
| 1366809048 | Mid-columbia Medical Center | Surgery | 1810 E. 19th St. #225, The Dalles, OR 97058 | 2016-01-26 |
| 1558731141 | Louise Goodnight | Case Manager/Care Coordinator | 419 East 7 Th Street, The Dalles, OR 97058 | 2015-09-25 |
| 1578944666 | Jessica Donnell | Dental Hygienist | 2529 E 12th St, The Dalles, OR 97058 | 2015-06-15 |
| 1487034328 | Savanna Schaan | Specialist | 609 W 14th St, The Dalles, OR 97058 | 2015-06-05 |
| 1801299102 | Mary E Zenorini | Social Worker | 1620 E. 12th St, The Dalles, OR 97058 | 2014-09-30 |
| 1669889143 | Diane Joan Irwin | Social Worker | 419 E 7th St #207, The Dalles, OR 97058 | 2014-07-17 |
| 1124452008 | Lacey A Nichols | Counselor | 312 E. Third St., The Dalles, OR 97058 | 2013-08-27 |
| Find all providers in zip 97058 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184074833 | Rebecca Combs | Physician Assistant | 551 Lone Pine Blvd, The Dalles, OR 97058 | 2016-06-14 |
| 1467651018 | Erin L Haines | Physician Assistant | 1715 E 12th St, The Dalles, OR 97058-3136 | 2007-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808605 | Pilar Lorena Lopez | Physician Assistant | 7675 Sw Spruce St, Tigard, OR 97223-8723 | 2020-10-15 |
| 1730787615 | Michael Hisao Mun Ho Pang | Physician Assistant | 1245 Sw 160th Ave, Beaverton, OR 97006-5052 | 2020-10-13 |
| 1144834805 | Logan Michael Johnston | Physician Assistant | 3319 Edgeview Ln, Forest Grove, OR 97116-1094 | 2020-09-01 |
| 1285255851 | Darby Samantha Jalbert | Physician Assistant | 2480 Liberty St Ne Ste 110, Salem, OR 97301-8381 | 2020-05-05 |
| 1033751433 | Trisha K Loch | Physician Assistant | 781 W Central, Sutherlin, OR 97479 | 2019-10-17 |
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1740797166 | Joseph Something | Physician Assistant | 4800 Sw 76th Ave, Portland, OR 97225-1804 | 2018-01-08 |
| 1235687013 | Satchel Harry | Physician Assistant | 417 Sw 117th Ave Fl 2, Portland, OR 97225-5924 | 2016-09-21 |
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| 1659828044 | Ryan Jones | Physician Assistant | 1775 Thompson Rd Bay Or97420, Coos Bay, OR 97420-2125 | 2016-09-02 |
| Find all providers with the same taxonomy | ||||
| City | THE DALLES |
| Zip Code | 97058 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.