MARK J MCDONALD (NPI# 1902876584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902876584 |
| Entity Type | Individual |
| Full Name | MARK J MCDONALD |
| Credential | MD |
| Practice Address |
200 E Chestnut St Louisville KY 40202-1831 |
| Mailing Address |
Po Box 776879 Chicago IL 60677-6879 |
| Practice Telephone | 5026296000 |
| Mailing Telephone | 5025889490 |
| Mailing Fax Number | 5022725116 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 32116 | KY | Allopathic & Osteopathic Physicians |
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
32116 | KY | Allopathic & Osteopathic Physicians |
| N | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
32116 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | T66265 | 05 | |
| IN | 200188960 | 05 | |
| KY | 64321169 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407140106 | Mark W Mcdonald | Emergency Medicine | 629 Winding Brook Ln, Tyler, TX 75703-0832 | 2011-05-31 |
| 1093795122 | Mark Newton Mcdonald | Dentist | Bldg 2441 21st Street, Usa Dentac, Fort Campbell, KY 42223-5369 | 2006-01-17 |
| 1861479479 | Mark C Mcdonald | Physician Assistant | 8700 W Watertown Plank Rd, Orthopaedic Surgery, Milwaukee, WI 53226 | 2005-12-23 |
| 1366837429 | Mark M Mcdonald | Psychiatry & Neurology | 1221 Lee Street, Charlottesville, VA 22908-0816 | 2015-04-05 |
| 1861818494 | Mark Mcdonald | Physical Therapist | 1450 Route 208, Wallkill, NY 12589-3799 | 2014-03-06 |
| 1386078061 | Mark Mcdonald | Counselor | 1202 S James Campbell Blvd, Ste 7a, Columbia, TN 38401-5193 | 2013-08-29 |
| 1750632048 | Mark Zachary Mcdonald | Physical Therapist | 1114 W Jackson St, Ozark, MO 65721-9164 | 2012-09-26 |
| 1144408287 | Mark William Mcdonald | Radiology | 1365 Clifton Rd Ne, Suite A1341, Atlanta, GA 30322-1013 | 2008-01-31 |
| 1770766305 | Mark E Mcdonald | Adult Companion | 2908 Ne Killingsworth St, Portland, OR 97211-6812 | 2007-12-05 |
| 1114116506 | Mark Mcdonald | Psychiatry & Neurology | 11500 W Olympic Blvd, Suite 426, Los Angeles, CA 90064-1524 | 2007-10-22 |
| Street Address |
200 E CHESTNUT ST |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-1831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467456384 | Sanford Todd Reikes | Internal Medicine | 200 E Chestnut St, Louisville, KY 40202-1831 | 2005-06-09 |
| 1245845163 | Morgan Daffin | Psychologist | 200 E Chestnut St, Louisville, KY 40202-1831 | 2020-09-09 |
| 1053934612 | Kayla N Larosa | Psychologist | 200 E Chestnut St, Louisville, KY 40202-1831 | 2020-05-18 |
| 1013548973 | Kentucky Ob Hospitalist Services Inc | Obstetrics & Gynecology | 200 E Chestnut St, Louisville, KY 40202-1831 | 2020-01-30 |
| 1003451774 | Elizabeth Turcotte | Nurse Practitioner | 200 E Chestnut St, Louisville, KY 40202-1831 | 2019-11-16 |
| 1972145332 | Brenn Philip Arbra | Registered Nurse | 200 E Chestnut St, Louisville, KY 40202-1831 | 2019-10-17 |
| 1417599200 | Candice Elaine Bacon | Registered Nurse | 200 E Chestnut St, Louisville, KY 40202-1800 | 2019-10-13 |
| 1518510965 | Katrina Mcneal | Nurse Practitioner | 200 E Chestnut St, Louisville, KY 40202-1800 | 2019-07-24 |
| 1013569102 | Hannah Harris | Physician Assistant | 200 E Chestnut St, Louisville, KY 40202-1831 | 2019-07-10 |
| 1932768710 | Jasmina Keserovic | Nurse Anesthetist, Certified Registered | 200 E Chestnut St, Louisville, KY 40202-1831 | 2019-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477079317 | Jennifer Margaret Rice | Pediatrics | 231 E Chestnut St, Louisville, KY 40202-1821 | 2017-08-22 |
| 1972859098 | University of Louisville Physicians, Inc. | Pediatrics | 9700 Park Plaza Ave, Suite 110, Louisville, KY 40241-2236 | 2012-07-26 |
| 1164788899 | University of Louisville Physicians | Pediatrics | 231 E Chestnut St, Louisville, KY 40202-1821 | 2012-04-06 |
| 1235495961 | University of Louisville Research Foundation | Pediatrics | 231 E Chestnut St, Louisville, KY 40202-1821 | 2012-04-06 |
| 1609192699 | Lindsey K Rasmussen | Pediatrics | 231 E Chestnut St, Louisville, KY 40202-1821 | 2010-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942612510 | Ryan Michael Fredericks | Pediatrics | Ky Children's Hospital 800 Rose St 4th Floor, Lexington, KY 40536-0293 | 2014-05-29 |
| 1841516200 | Asha N Shenoi | Pediatrics | 800 Rose St, Lexington, KY 40536-0001 | 2010-04-10 |
| 1346494754 | Matthew Keith Bacon | Pediatrics | 800 Rose St, Mn470, Lexington, KY 40536-0001 | 2008-11-12 |
| 1992912166 | Scottie Brian Day | Pediatrics | 800 Rose St, Mn 462, Lexington, KY 40536-0001 | 2007-05-17 |
| 1073720314 | Ashwin Subramani Krishna | Pediatrics | 800 Rose St, Department of Pediatrics, Lexington, KY 40536 | 2007-05-17 |
| 1992725212 | Cheri Denise Landers | Pediatrics | 740 S Limestone, Lexington, KY 40536-0001 | 2006-07-20 |
| 1316966146 | Philip A Bernard | Pediatrics | 2333 Alumni Park Plz, Suite 200, Lexington, KY 40517-4012 | 2006-07-19 |
| 1760401251 | Marion Dawn Turner | Pediatrics | 740 S Limestone, Lexington, KY 40536-0001 | 2006-07-18 |
| 1548285174 | Horacio Francisco Zaglul | Pediatrics | 740 S Limestone, Lexington, KY 40536-0001 | 2006-07-13 |
| City | LOUISVILLE |
| Zip Code | 40202 |
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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.