CHARLES MCDONALD (NPI# 1235396854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235396854 |
| Entity Type | Individual |
| Full Name | CHARLES MCDONALD |
| Credential | M.D. |
| Practice Address |
304 Shorter Ave Nw Suite 201 Rome GA 30165-4290 |
| Practice Telephone | 7065093300 |
| Mailing Telephone | 7065093300 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437236775 | Charles Mcdonald | Optometrist | 220 Marlboro Ave, Tred Avon Square, Easton, MD 21601-2729 | 2006-11-01 |
| 1164061834 | Charles Patrick Mcdonald Jr. | Nurse Practitioner | 316 2nd St, Cheraw, SC 29520-2404 | 2019-12-30 |
| 1174026223 | Charles Mcdonald | Massage Therapist | 290 Highway 314 Ste B, Fayetteville, GA 30214-7813 | 2018-03-15 |
| 1558720458 | Charles Mcdonald Jr. | Respiratory Therapist, Registered | 1460 G St, Springfield, OR 97477-4112 | 2016-02-19 |
| 1225402654 | Charles Mcdonald | Counselor | 3519 Patrick St, Suite 245, Lake Charles, LA 70605-1748 | 2015-11-23 |
| 1780918052 | Charles A Mcdonald | Occupational Therapist | 1200 Springfield Dr, Chico, CA 95928-6340 | 2009-09-18 |
| 1932150737 | Charles J Mcdonald | Dermatology | 593 Eddy Street, Apc-10, Providence, RI 02903-4923 | 2006-05-15 |
| 1508821885 | Charles Alan Mcdonald | Chiropractor | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2006-04-19 |
| 1477543155 | Charles C. Mcdonald | Internal Medicine | 2100 Webster St, Ste 202, San Francisco, CA 94115-2375 | 2005-10-25 |
| 1760471486 | Charles D Mcdonald Jr. | Internal Medicine | 2205 Mccallie Ave, Chattanooga, TN 37404-3323 | 2005-10-14 |
| Street Address |
304 SHORTER AVE NW SUITE 201 |
| City | ROME |
| State | GA |
| Zip Code | 30165-4290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033112438 | John J Desmond Iv | Specialist | 304 Shorter Ave Nw, Suite 201, Rome, GA 30165-4290 | 2005-05-31 |
| 1770010878 | Heather Michelle Banks | Nurse Practitioner | 304 Shorter Ave Nw, Rome, GA 30165-4290 | 2017-05-19 |
| 1417369778 | Barbara Townsell | Nurse Practitioner | 304 Shorter Ave Nw, Suite 102, Rome, GA 30165-4290 | 2014-05-21 |
| 1073873147 | William Erick Anderson | Family Medicine | 304 Shorter Ave Nw, Ste 201, Rome, GA 30165-4290 | 2012-05-23 |
| 1740549138 | Patrick Jay Lynn | Family Medicine | 304 Shorter Ave Nw, Suite 201, Rome, GA 30165-4290 | 2012-05-07 |
| 1669765756 | Timothy Adam Clark | Emergency Medicine | 304 Shorter Ave Nw, Suite 201, Rome, GA 30165-4290 | 2011-05-23 |
| 1245551910 | Umesha Abeysinghe | Student in an Organized Health Care Education/Training Program | 304 Shorter Ave Nw, Ste 201, Rome, GA 30165-4290 | 2010-06-17 |
| 1780834853 | Kanwarjit Warraich | Student in an Organized Health Care Education/Training Program | 304 Shorter Ave Nw, Suite 201, Rome, GA 30165-4290 | 2008-09-25 |
| 1265694491 | Kelly Vlass Culbertson | Family Medicine | 304 Shorter Ave Nw, Suite 201, Rome, GA 30165-4290 | 2008-06-30 |
| 1447420310 | Jarrod Michael Wiegman | Family Medicine | 304 Shorter Ave Nw, Suite 201, Rome, GA 30165-4290 | 2008-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1659877579 | Jessica Judith White | Student in an Organized Health Care Education/Training Program | 101 Lovell Ln Sw, Rome, GA 30165-3631 | 2018-03-30 |
| 1497370506 | Nathan Henry | Student in an Organized Health Care Education/Training Program | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2020-06-15 |
| 1124643291 | Gokhan Emre Taskale | Student in an Organized Health Care Education/Training Program | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2020-06-14 |
| 1962027037 | Adriana Delmonico | Student in an Organized Health Care Education/Training Program | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2020-06-14 |
| 1568087708 | Nzota Pelagie Nsona Koyagialo | Student in an Organized Health Care Education/Training Program | 304 Shorter Ave Nw Ste 201, Rome, GA 30165-4256 | 2020-06-13 |
| 1295350494 | Edward Lawson Held | Student in an Organized Health Care Education/Training Program | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2020-06-12 |
| 1740805951 | Yassmin Shariff | Student in an Organized Health Care Education/Training Program | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2020-06-12 |
| 1982229175 | Gregory Rusiecki | Student in an Organized Health Care Education/Training Program | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2020-06-12 |
| 1932738127 | Anand Marangattu Parameswaran | Student in an Organized Health Care Education/Training Program | 501 Redmond Road, Rome, GA 30165 | 2020-04-08 |
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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.