DR. PERCY MCDONALD (NPI# 1861460750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861460750 |
| Entity Type | Individual |
| Full Name | DR. PERCY MCDONALD |
| Credential | MD08 |
| Practice Address |
1107 Stone St Suite 4 Port Huron MI 48060-3569 |
| Mailing Address |
1107 Stone Street Suite 4 Port Huron MI 48060 |
| Practice Telephone | 8109844400 |
| Mailing Telephone | 8109844400 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 4301051044 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1832639 | 05 |
| Street Address |
1107 STONE ST SUITE 4 |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060-3569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821087453 | Vernon Everett Dencklau | Surgery | 1107 Stone St, Suite 1, Port Huron, MI 48060-3569 | 2005-10-17 |
| 1407205719 | Norma Pakulski | Licensed Practical Nurse | 1107 Stone St, Suite 2, Port Huron, MI 48060-3569 | 2016-06-07 |
| 1548635121 | Ali Endocrinology PC | Internal Medicine | 1107 Stone St, Ste 3, Port Huron, MI 48060-3569 | 2015-12-07 |
| 1134599822 | Katherine Susan Kuhn | Acupuncturist | 1107 Stone St, Suite 2, Port Huron, MI 48060-3569 | 2015-10-07 |
| 1669701124 | Best Kids PC | Pediatrics | 1107 Stone St, Suite 5, Port Huron, MI 48060-3569 | 2009-12-12 |
| 1386877124 | Percy H, Mcdonald, M.d., P.C. | Specialist | 1107 Stone St, Suite 4, Port Huron, MI 48060-3569 | 2009-08-27 |
| 1144407321 | Randi J Votava | Nurse Practitioner | 1107 Stone St, Suite 5, Port Huron, MI 48060-3569 | 2008-01-30 |
| 1336322528 | Blue Water Thoracic and Cardiovascular Surgery, Plc | Surgery | 1107 Stone St, Suite 1, Port Huron, MI 48060-3569 | 2007-12-11 |
| 1487780755 | Shamsa Arshad Ali | Internal Medicine | 1107 Stone St, Suite 3, Port Huron, MI 48060-3569 | 2007-02-23 |
| 1093756934 | Port Huron Clinic P.C. | Legal Medicine | 1107 Stone St, Ste #1, Port Huron, MI 48060-3569 | 2006-06-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
| Find all providers in zip 48060 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518947977 | Neal Edward Obermyer | Otolaryngology | 1522 Pine Grove Ave, Suite A, Port Huron, MI 48060-3382 | 2006-01-20 |
| 1548240930 | Port Huron Ent PC | Otolaryngology | 1522 Pine Grove Ave, Suite A, Port Huron, MI 48060-3382 | 2006-01-20 |
| 1639159007 | Frank Allan Brettschneider | Otolaryngology | 1522 Pine Grove Ave, Suite A, Port Huron, MI 48060-3382 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104445980 | Anuja Dharap | Otolaryngology | 35630 Grand River Ave Apt 217, Farmington Hills, MI 48335-3120 | 2020-04-13 |
| 1598311334 | Cogent Medical Group Pllc | Otolaryngology | 28300 Orchard Lake Rd Ste 101, Farmington Hills, MI 48334-3704 | 2019-08-16 |
| 1073025334 | Robert J Stachler Md PC | Otolaryngology | 33200 W. 14 Mile Rd., Ste. 240, West Bloomfield, MI 48322 | 2017-10-26 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1174905822 | Scott Jacob Schwartz | Otolaryngology | 6900 Orchard Lake Rd Ste 314, West Bloomfield, MI 48322-3457 | 2015-06-18 |
| 1669868402 | Cameron M Heilbronn | Otolaryngology | 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081-1156 | 2015-04-08 |
| 1104230523 | Gary Zachary White | Otolaryngology | 300 North Ave Ste 1400, Battle Creek, MI 49017 | 2014-06-13 |
| 1437574530 | Beacon Medical Group, Inc. | Otolaryngology | 711 S Health Pkwy Ste 1, Medical Office Building #1, Three Rivers, MI 49093-8354 | 2014-02-26 |
| 1124361621 | Eric Fahed Succar | Otolaryngology | 44200 Woodward Ave Ste 201, Pontiac, MI 48341-5045 | 2013-04-03 |
| 1396086286 | Nathan Vandjelovic | Otolaryngology | 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 | 2013-03-03 |
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| City | PORT HURON |
| Zip Code | 48060 |
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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.