WILLIAM D MCDONALD (NPI# 1902914963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902914963 |
| Entity Type | Individual |
| Full Name | WILLIAM D MCDONALD |
| Credential | DPM |
| Practice Address |
4722 Quail Lakes Dr Suite A Stockton CA 95207-5256 |
| Practice Telephone | 2094760675 |
| Practice Fax Number | 2094769389 |
| Mailing Telephone | 2094760675 |
| Mailing Fax Number | 2094769389 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2015-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | E3287 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE # | E3287 | 01 |
| CA | MEDICARE - ID | ZZZ28592Z | 01 |
| CA | GRE001670 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194980433 | William Mcdonald | Spec/Tech, Cardiovascular | 1700 150th Ave, San Leandro, CA 94578-1826 | 2008-07-25 |
| 1326224874 | William Kenneth Mcdonald | Dentist | 41700 Hayes Rd Ste D, Clinton Township, MI 48038-5823 | 2008-01-15 |
| 1841349198 | William David Mcdonald | Psychologist | 106 Central Avenue Se, Huntsville, AL 35801 | 2007-01-09 |
| 1124187497 | William Kenneth Mcdonald | Social Worker | 129 N River St, Fenton, MI 48430-3800 | 2006-12-06 |
| 1063502045 | William Paul Mcdonald | Chiropractor | 220 Washington St W, Charleston, WV 25302 | 2006-10-13 |
| 1679666762 | William D. Mcdonald | Dentist | 14715 Bel Red Rd, Suite 200, Bellevue, WA 98007-3940 | 2006-10-02 |
| 1689765844 | William Maffitt Mcdonald | Psychiatry & Neurology | Emory Division of Geriatric Psychiatry, Wesley Woods Health Center, 1841 Clifton Road Ne, Atlanta, GA 30329 | 2006-09-27 |
| 1134228422 | William John Mcdonald | Otolaryngology | 1028 North Federal Highway, Lake Worth, FL 33460-2352 | 2006-09-22 |
| 1841243508 | William Joseph Mcdonald Jr. | Optometrist | 5500 Ming Ave, Suite 175, Bakersfield, CA 93309-4623 | 2006-05-17 |
| 1912958398 | William Joseph Mcdonald | Nurse Practitioner | 206 S Vermont Ave, Ransom, KS 67572-9525 | 2006-05-12 |
| Street Address |
4722 QUAIL LAKES DR SUITE A |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-5256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598793507 | Vitune Vongtama | Radiology | 4722 Quail Lakes Dr, Stockton, CA 95207-5244 | 2006-06-29 |
| 1962805630 | Corky Hul Medical Assoc | Preventive Medicine | 4722 Quail Lakes Dr, Stockton, CA 95207-5256 | 2014-10-08 |
| 1245434083 | Dan Vongtama | Radiology | 4722 Quail Lakes Dr, Stockton, CA 95207-5256 | 2007-06-14 |
| 1386784114 | V. Vongtama Md Inc | Radiology | 4722 Quail Lakes Dr, Stockton, CA 95207-5244 | 2007-02-08 |
| 1659399202 | Pacific Wound Center Medical Group, Inc. | Internal Medicine | 4722 Quail Lakes Dr, Suite A, Stockton, CA 95207-5256 | 2006-07-18 |
| 1629008339 | Annette Maria Seiler | Family Medicine | 4722 Quail Lakes Dr, Suite A, Stockton, CA 95207-5256 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144548439 | Michael D Mc Gavic A Professional Corporation | Podiatrist | 1755 W Hammer Ln, S-7b, Stockton, CA 95209-2900 | 2010-05-11 |
| 1588771273 | Katherine Y. Young | Podiatrist | 1810 Grand Canal Blvd, Suite 2, Stockton, CA 95207-8110 | 2006-08-25 |
| 1912919358 | Valley Podiatry Group Inc | Podiatrist | 3031 W March Lane, Suite 310, Stockton, CA 95219-6500 | 2006-08-13 |
| 1003868100 | Craig Anthony Lenz | Podiatrist | 1755 W Hammer Ln Ste 7b, Stockton, CA 95209-2900 | 2006-05-17 |
| 1629028923 | Craig Steven Garfolo | Podiatrist | 1350 W Robinhood Dr, Suite 14, Stockton, CA 95207-5512 | 2006-05-10 |
| 1619949187 | Lynn Robert Johnson | Podiatrist | 1205 N Hunter St, Stockton, CA 95202-1409 | 2006-02-07 |
| 1972599355 | Gregory T Pulas | Podiatrist | 3031 W March Ln, 203, Stockton, CA 95219-6500 | 2005-09-21 |
| 1073732913 | Darrell G Paul | Podiatrist | 7373 West Ln, Stockton, CA 95210-3377 | 2007-04-25 |
| 1023169471 | Delta Podiatry Group, Inc. | Podiatrist | 1205 N Hunter St, Stockton, CA 95202-1409 | 2007-01-14 |
| 1346314945 | Thomas R. Ecton | Podiatrist | 7373 West Ln, Stockton, CA 95210-3377 | 2006-11-17 |
| Find all providers in STOCKTON | ||||
Please comment or provide details below to improve the information on WILLIAM D MCDONALD.
| 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.