JEFFREY LAYNE MCDONALD


Address: 1142 Shipyard Blvd, Wilmington, NC 28412-6439
Phone: 9103500067

JEFFREY LAYNE MCDONALD (NPI# 1740261734) 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) 1740261734
Entity Type Individual
Full Name JEFFREY LAYNE MCDONALD
Credential CP
Practice Address 1142 Shipyard Blvd
Wilmington
NC 28412-6439
Practice Telephone 9103500067
Practice Fax Number 9103500065
Mailing Telephone 9103500067
Mailing Fax Number 9103500065
Enumeration Date 2005-11-08
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 7703733 05

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Office Location

Street Address 1142 SHIPYARD BLVD
City WILMINGTON
State NC
Zip Code 28412-6439

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285949875 Michelle L Smith Orthotic Fitter 1142 Shipyard Blvd, Wilmington, NC 28412-6439 2010-08-09
1679778591 Robert Edward Collins Jr. Orthotist 1142 Shipyard Blvd, Wilmington, NC 28412-6439 2007-06-20
1932230828 Axis Prosthetics and Orthotics, Inc Prosthetic/Orthotic Supplier 1142 Shipyard Blvd, Wilmington, NC 28412-6439 2007-03-09
1952432858 Tiffany Jamerson Specialist 1142 Shipyard Blvd, Wilmington, NC 28412-6439 2007-03-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891357166 Alexandra Palamaru Dentist 2759, 6132 Carolina Beach Rd., 6, Wilmington, NC 28412 2019-07-08
1447640115 Carrie Anne Emory Physician Assistant 1124 Gallery Park Blvd, #200, Wilmington, NC 28412 2015-02-02
1144639295 Christina Marie Terry Physical Therapist 7842 Champlain Dr, Wilmington, NC 28412 2014-08-03
1972889715 New Hanover House, LLC Assisted Living Facility 3915 Stedwick Court, Wilmington, NC 28412 2011-10-25
1538440672 Celine Adair Marriage & Family Therapist 9809 River Rd, Wilmington, NC 28412 2011-09-02
1033412267 American Anesthesiology of North Carolina, Pllc Anesthesiology 2520 Independence Blvd, Suite 200, Wilmington, NC 28412 2010-12-09
1932418357 Dale Autry Pharmacist 3625 South College Road, Wilmington, NC 28412 2010-10-04
1528390762 Sheila Flynn Counselor 710 St. Andrews Dr. #18, Wilmington, NC 28412 2010-02-12
1952563686 Stephen Rolfe Wells Anesthesiology 2520 Independence Boulevard, Suite 200, Wilmington, NC 28412 2008-06-25
1396902722 Henry D Browning Iv Dentist 604 Junction Creek, Wilmington, NC 28412 2008-05-22
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790396703 Jermaine Cannon Specialist 1 Murphy Rd, Wilmington, DE 19803-3044 2020-08-13
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1952843948 Beyond Basics Salons Inc Specialist 1124 Floral Pkwy, Wilmington, NC 28403-6212 2016-11-08
1225586324 Yay Ot 4 Kids, LLC Specialist 305 N 15th St, Wilmington, NC 28401-3813 2016-09-17
1053869511 Kay Eileen Shoemaker Specialist 107 Florence Ave, Wilmington, DE 19803-2337 2016-09-13
1487000758 Vamano Inc Specialist 5231 W Woodmill Dr, Suite 45, Wilmington, DE 19808-4068 2016-05-05
1689031262 Ivps of Delaware Specialist 1305 Kirkwood Highway, Wilmington, DE 19805 2016-01-27
1548646490 Delvalley Healthcare LLC Specialist 2055 Limestone Rd Ste 201, Wilmington, DE 19808-5536 2015-08-03
1194123117 Bharat Shah Specialist 166 Landis Way N, Wilmington, DE 19803-6408 2014-12-08
1477955748 Amberly Tokoly Specialist 1717 Shipyard Blvd Ste 320, Wilmington, NC 28403-8019 2014-09-18
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Competitor

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City WILMINGTON
Zip Code 28412

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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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