DR. MICHAEL HEALY MCDONALD (NPI# 1619157161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619157161 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL HEALY MCDONALD |
| Credential | M.D. |
| Practice Address |
6408 Copps Ave Monona WI 53716-3702 |
| Mailing Address |
202 S Park St Madison WI 53715-1507 |
| Practice Telephone | 6084173000 |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2013-01-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
19788-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | RAILROAD MEDICARE | 040004902 | 01 |
| WI | PHYSICIANS PLUS INS CO | 100403 | 01 |
| WI | 30423300 | 05 | |
| WI | DEAN HEALTH PLAN VENDOR # | 564927 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588107726 | Michael A Mcdonald Jr. | Speech-Language Pathologist | 12004 144th St, Jamaica, NY 11436-1507 | 2016-11-20 |
| 1205186509 | Michael Mcdonald | Registered Nurse | 306 W North St, Enterprise, OR 97828-1041 | 2012-09-13 |
| 1255696712 | Michael Mcdonald | Specialist | 17 Marshall St, Massapequa, NY 11758-5437 | 2012-07-11 |
| 1801166137 | Michael Mcdonald | Contractor | 6713 Newington Rd, Lorton, VA 22079-1112 | 2012-01-03 |
| 1760703755 | Michael Mcdonald | Marriage & Family Therapist | 3175 Sunset Blvd Ste 107d, Rocklin, CA 95677-3091 | 2010-06-14 |
| 1669610507 | Michael Andrew Mcdonald | Pharmacist | 11405 Dunmaglas Dr, Bath, MI 48808-9303 | 2009-01-30 |
| 1366628372 | Michael G Mcdonald | Physical Therapist | 3112 Sharps St, Fort Collins, CO 80526-2523 | 2008-01-21 |
| 1053472472 | Michael John Mcdonald | General Practice | 810 Haiku Road, Suite 150, Haiku, HI 96708 | 2006-12-12 |
| 1265517734 | Michael J.h. Mcdonald | Dentist | 1430 Tara Hills Dr, Suite B, Pinole, CA 94564-2580 | 2006-10-25 |
| 1073561338 | Michael J Mcdonald | Nurse Anesthetist, Certified Registered | 942 Ranch Bluff Rd, Villa Ridge, MO 63089-1478 | 2006-05-05 |
| Street Address |
6408 COPPS AVE |
| City | MONONA |
| State | WI |
| Zip Code | 53716-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184619231 | Melissa S Grimm | Internal Medicine | 6408 Copps Ave, Monona, WI 53716-3702 | 2005-09-14 |
| 1538631940 | Sara Marshall | Registered Nurse | 6408 Copps Ave, Monona, WI 53716-3702 | 2018-12-24 |
| 1851876841 | Abbie Elizabeth Treiber | Registered Nurse | 6408 Copps Ave, Monona, WI 53716-3702 | 2018-09-26 |
| 1477079069 | Kathleen R Green | Nurse Practitioner | 6408 Copps Ave, Monona, WI 53716-3702 | 2017-08-16 |
| 1265801542 | Sara Pagels | Physical Therapy Assistant | 6408 Copps Ave, Monona, WI 53716-3702 | 2015-09-17 |
| 1245633841 | Elizabeth Teresa Villagran | Speech-Language Pathologist | 6408 Copps Ave, Monona, WI 53716-3702 | 2014-09-27 |
| 1326455353 | Naomi Lever | Audiologist | 6408 Copps Ave, Monona, WI 53716-3702 | 2014-07-22 |
| 1326357682 | Victoria Schwartz Hurwitz | Physical Therapist | 6408 Copps Ave, Monona, WI 53716-3702 | 2010-10-04 |
| 1780810911 | Kristina Marie Russell | Physical Therapist | 6408 Copps Ave, Monona, WI 53716-3702 | 2009-06-02 |
| 1639304140 | Julie A Becker | Physical Therapist | 6408 Copps Ave, Monona, WI 53716-3702 | 2009-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738873 | Richard Onyait | Technician | 1103 Birch Haven Cir, Monona, WI 53716 | 2019-09-11 |
| 1962950428 | Paige Corliss | Pharmacist | 1821 S. Stoughton Road, Madison, WI 53716 | 2016-09-13 |
| 1760840946 | Stacey Palermo | Marriage & Family Therapist | 303 Frost Woods Rd, Monona, WI 53716 | 2016-02-03 |
| 1326414442 | Diane Marie Kelley | Nurse Practitioner | 300 Femrite Drive, Monona, WI 53716 | 2015-08-12 |
| 1942692520 | Kelsey Lynn Markham | Counselor | 5900 Monona Drive, Suite 100, Monona, WI 53716 | 2015-02-19 |
| 1225452733 | Nicole Moscinski | Marriage & Family Therapist | 6117 Monona Dr Ste 1b, Monona, WI 53716 | 2014-02-05 |
| 1013345644 | Emma Amanda Rose | Physician Assistant | 521 Bowman Ave., Madison, WI 53716 | 2013-10-16 |
| 1407154271 | Jennifer Orshak | Registered Nurse | 5410 Forge Drive, Madison, WI 53716 | 2011-03-03 |
| 1982906525 | Jennifer Chun | Dentist | 100 River Pl Ste 110, Monona, WI 53716 | 2010-12-02 |
| 1609041987 | Jennifer A Britain | Physical Therapist | 1821 South Stoughton Rd, Madison, WI 53716 | 2008-04-28 |
| Find all providers in zip 53716 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518179928 | John D. Wolski | Otolaryngology | 12850 Dunwoody Dr, Elm Grove, WI 53122-1415 | 2007-05-06 |
| 1154393791 | Thomas Oliver Wildes | Otolaryngology | 962 Parkland Dr, Chippewa Falls, WI 54729-5084 | 2006-02-07 |
| 1194100511 | Midwest Surgical Professionals LLC | Otolaryngology | 19275 W Capitol Dr, Suite 205, Brookfield, WI 53045-2742 | 2015-07-27 |
| 1255582078 | Martin E. Samuel, Dds,md,sc | Otolaryngology | 2741 W Layton Ave, Suite 206, Milwaukee, WI 53221-2600 | 2008-10-10 |
| 1831359801 | Ethan B. Handler | Otolaryngology | 2885 N Mayfair Rd, Milwaukee, WI 53222-4404 | 2008-06-13 |
| 1275725913 | Jessica Ann Weddle | Otolaryngology | 512 S 28th Ave, Wausau, WI 54401-4147 | 2007-08-16 |
| 1346450558 | Ayman D Yaish | Otolaryngology | 130 Warren St, Suite 130, Beaver Dam, WI 53916 | 2007-05-23 |
| 1962617845 | Edward Lawrence Smith | Otolaryngology | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2007-05-13 |
| 1629294145 | Michael James Mcavoy | Otolaryngology | 1520 N Meade St, Appleton, WI 54911-3762 | 2007-04-17 |
| 1336364546 | James L Rossiter | Otolaryngology | 10610 N Port Washington Road, Mequon, WI 53092 | 2007-04-14 |
| Find all providers with the same taxonomy | ||||
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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.