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KEVIN RYAN MCDONALD P.A. NPI 1689852410


NPI Information

NPI: 1689852410
Provider Name: KEVIN RYAN MCDONALD, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
425 POST RD
FAIRFIELD, CT
ZIP 06824
Phone: (203) 259-7442
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Kevin Ryan Mcdonald, P.A. is a medical physician assistant in Fairfield, CT with 45 years of experience. Kevin Ryan Mcdonald, P.A. NPI is 1689852410. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

425 POST RD
FAIRFIELD, CT
ZIP 06824-232
Phone: (203) 259-7442

The NPI 1689852410 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/4/2008 and was last updated on 1/13/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantC0003922MARYLANDNo
2363A00000XPhysician Assistant25MP00159800NEW JERSEYNo
3363AM0700XPhysician AssistantMedical23.002924CONNECTICUTYes
4363AM0700XPhysician AssistantMedical2012007333MISSOURINo
5363AM0700XPhysician AssistantMedicalPA18705CALIFORNIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.