MR. DAVID M. MCDONALD PA-C NPI 1710280144

NPI Information

NPI: 1710280144
Provider Name: MR. DAVID M. MCDONALD, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: POCATELLO HEALTH SERVICES LLC

PECOS Registration: Yes

Address:
777 HOSPITAL WAY
POCATELLO, ID
ZIP 83201
Phone: (208) 239-1000
Get Directions

MR. David M. Mcdonald, PA-C is a surgical physician assistant in Pocatello, ID with 14 years of experience. MR. David M. Mcdonald, PA-C NPI is 1710280144. 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:

777 HOSPITAL WAY
POCATELLO, ID
ZIP 83201-175
Phone: (208) 239-1000
Fax: (602) 239-3754

The NPI 1710280144 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 12/7/2010 and was last updated on 12/6/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	4780	ARIZONA	No
2	363AS0400X	Physician Assistant	Surgical	PA-1016	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	626417	MEDICAID	ARIZONA
2	146746	MEDICARE PIN	ARIZONA

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: 11/14/2023

NPI Synchronization or Removal

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