PATRICK EARL MCDONOUGH


Address: 235 State Street, St. Croix Falls, WI 54024
Phone: 7154833221

PATRICK EARL MCDONOUGH (NPI# 1225151558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225151558
Entity Type Individual
Full Name PATRICK EARL MCDONOUGH
Credential MD
Practice Address 235 State Street
St. Croix Falls
WI 54024
Practice Telephone 7154833221
Practice Fax Number 7154830507
Mailing Telephone 7154833221
Mailing Fax Number 7154830507
Enumeration Date 2007-04-10
Last Update Date 2011-11-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207QS0010X Family Medicine
Specialization: Sports Medicine
50910 MN Allopathic & Osteopathic Physicians
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
54869 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 1225151558 05
MN 1225151558 05

Other Providers PATRICK MCDONOUGH

NPI Name Taxonomy Address Enumeration
1649442682 Patrick Shannon Mcdonough Urology Madigan Army Medical Center - Bldg 9040, Fitzsimmons Drive, Tacoma, WA 98431-0001 2008-03-31
1992349708 Patrick Mcdonough Social Worker 300 Mulberry St Ste 201, Scranton, PA 18503-1233 2019-11-05
1265771562 Patrick Mcdonough Licensed Practical Nurse 2250 Wehrle Dr, Suite 1, Williamsville, NY 14221-7034 2013-02-06
1023374519 Patrick Henry Mcdonough Dermatology 6162 E Mockingbird Ln, Suite 120, Dallas, TX 75214-2697 2012-04-09
1558697599 Patrick Mcdonough Radiology 1805 27th St, Portsmouth, OH 45662-2640 2009-10-27
1811198294 Patrick Michael Mcdonough Pathology 835 S Van Buren St, Green Bay, WI 54301-3526 2007-05-31
1770791832 Patrick B Mcdonough Internal Medicine 12277 De Paul Dr, Suite 401, Bridgeton, MO 63044-2516 2007-05-20
1558449413 Patrick Mcdonough Chiropractor 105 Pfeffer Rd, Suite 5, Export, PA 15632-1934 2006-11-01
1578654893 Patrick J Mcdonough Social Worker 950 Campbell Ave, West Haven, CT 06516-2770 2006-09-28
1114941275 Patrick M Mcdonough Dentist 2808 Village Way, Trent Woods, NC 28562 2006-07-26

Office Location

Street Address 235 STATE STREET
City ST. CROIX FALLS
State WI
Zip Code 54024

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417394768 Sarah Marie Arnone Family Medicine 235 State Street, St. Croix Falls, WI 54024 2013-05-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063078210 Carson Cannon Dentist 230 South Washington St, St. Croix Falls, WI 54024 2019-05-14
1467743435 Sarie Chieko Transue Occupational Therapy Assistant 450 East Lousiana St, St. Croix Falls, WI 54024 2011-04-26
1982909578 Anita Melodee Bont Marriage & Family Therapist 144 N. Adams Street, St. Croix Falls, WI 54024 2011-01-13
1346407376 Joy Kathleen Zasadny Chiropractor 520 S. Washington St, St. Croix Falls, WI 54024 2008-05-19
1093990822 Counseling Associates of St. Croix, Inc Community/Behavioral Health 809 Us Hwy 8 East, St. Croix Falls, WI 54024 2007-12-28
1710169263 School District of St. Croix Falls Local Education Agency (LEA) 740 Maple Drive, St. Croix Falls, WI 54024 2007-11-27
1366577488 Valerie A Zellmer Marriage & Family Therapist 809 Us Hwy 8, St. Croix Falls, WI 54024 2007-02-22
1689709511 Linda M Amundson Marriage & Family Therapist 809 Us Highway 8, St. Croix Falls, WI 54024 2007-02-22
1194850016 Donna L. Hill Counselor 809 Us Highway 8 East, St. Croix Falls, WI 54024 2007-02-22
1982747911 Counseling Associates Inc Community/Behavioral Health 809 Us Hwy. 8 East, St. Croix Falls, WI 54024 2007-02-15
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Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811203706 Matthew M Brown Family Medicine 1705 Hoffman St, Madison, WI 53704-2510 2010-08-30
1174764906 Mark W Niedfeldt, Md, LLC Family Medicine 10556 N Port Washington Rd, Ste 101, Mequon, WI 53092-5586 2009-03-06
1790858462 Shanyn Colleen Lancaster Family Medicine 1250 W Wisconsin Ave, Student Health, Schroeder Complex, Lower Level, Milwaukee, WI 53233-2225 2006-11-17
1306919907 Steven Alan Giles Family Medicine 3316 Ridgeline Dr, Waukesha, WI 53188 2006-11-15
1689220527 Delo Sport and Stem Sc Family Medicine 2595 Development Dr Ste 140, Green Bay, WI 54311-4267 2019-08-15
1417377755 Todd Domeyer Family Medicine 3113 Saemann Ave, Sheboygan, WI 53081 2014-04-25
1972949501 Chad Joseph Giles Family Medicine 4100 State Highway 66, Stevens Point, WI 54482 2013-05-22
1073956363 Lucianne Helena Olewinski Family Medicine Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 53792-0001 2013-04-17
1902166978 Jessica L Juntunen Family Medicine 5200 Hummingbird Rd, Suite 100, Wausau, WI 54401-6312 2012-05-23
1255607057 John Charles Pick-jacobs Family Medicine 7401 104th Ave Ste 110, Kenosha, WI 53142 2012-03-26
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Competitor

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City ST. CROIX FALLS
Zip Code 54024

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Dataset Information

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.

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