DR. GARY L MCDONALD (NPI# 1720115777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720115777 |
| Entity Type | Individual |
| Full Name | DR. GARY L MCDONALD |
| Credential | MD |
| Practice Address |
280 Exempla Cir Lafayette CO 80026-3370 |
| Mailing Address |
2500 S Havana St Aurora CO 80014-1618 |
| Practice Telephone | 3033384545 |
| Mailing Telephone | 3033384545 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | 29908 | CO | Allopathic & Osteopathic Physicians |
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
29908 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01299080 | 05 | |
| KAISER-COMMERCIAL NUMBER | 009909 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841537727 | Gary Wade Mcdonald | Counselor | 1410 Woodland Hills Dr, Whitehouse, TX 75791-3718 | 2013-01-11 |
| 1295823300 | Gary Dallas Mcdonald | Optometrist | 875 Clark Street, Suite A, Oviedo, FL 32765 | 2006-10-11 |
| 1275531774 | Gary Wayne Mcdonald | Dentist | 2300 Green Oak Dr, Suite # 600, Kingwood, TX 77339-2048 | 2005-07-08 |
| 1013957976 | Gary R. Mcdonald | Internal Medicine | 4230 Harding Rd, Suite 400, Nashville, TN 37205-2013 | 2006-06-08 |
| Street Address |
280 EXEMPLA CIR |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026-3370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720083017 | Johanna L Figge | Obstetrics & Gynecology | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2005-06-14 |
| 1538785605 | Danelle Lea Briske | Pharmacist | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2020-06-24 |
| 1477176790 | Haley Kletke | Genetic Counselor, MS | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2020-05-20 |
| 1194351890 | Katharina Ochoa | Respiratory Therapist, Registered | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2020-03-13 |
| 1255817276 | Cynthia L Borges | Technician/Technologist | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2018-07-12 |
| 1760975700 | Robyn Michelle Easton | Registered Nurse | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2018-06-13 |
| 1639673320 | Brittany Haugen | Physician Assistant | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2018-03-19 |
| 1316449184 | Angela Besel | Physical Therapist | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2018-03-07 |
| 1588165625 | Kimberly Uran | Registered Nurse | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2018-02-23 |
| 1164921672 | Jodi K Saracino | Registered Nurse | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2018-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| Find all providers in zip 80026 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902069545 | Michele Angelec Streeter | Otolaryngology | 1339 Phay Ave, Canon City, CO 81212-2301 | 2008-07-03 |
| 1023451176 | Kelly Joy Pettijohn | Otolaryngology | 2045 N Franklin St, Denver, CO 80205 | 2013-04-08 |
| 1174834972 | David Joseph Grindler | Otolaryngology | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2010-06-25 |
| 1457502940 | Khalid Chowdhury Md, PC | Otolaryngology | 1601 E 19th Ave, Suite 3000, Denver, CO 80218-1216 | 2008-10-02 |
| 1407990120 | Phyllis Ann Bergeron | Otolaryngology | 1375 E 19th Ave, Denver, CO 80218-1114 | 2007-02-16 |
| 1952445587 | Lawrence A Gordon | Otolaryngology | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2007-02-16 |
| 1295898187 | Ryan Andrew Gaines | Otolaryngology | 2555 S Downing St, Suite #100, Denver, CO 80210-5855 | 2006-12-19 |
| 1235218009 | Healthone Clinic Services LLC | Otolaryngology | 799 E Hampden Ave, Suite 530, Englewood, CO 80113-2786 | 2006-11-03 |
| 1053490839 | Andrew J Nemechek | Otolaryngology | 701 E Hampden Ave Ste 225, Englewood, CO 80113-2737 | 2006-11-03 |
| 1659473874 | Paul Harold Dragul | Otolaryngology | 850 E Harvard Ave, Ste #505, Denver, CO 80210-5073 | 2006-09-01 |
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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.