Active NPIIndividual provider

Michael J Mcdonald, PA

Physician Assistant in Agawam, Massachusetts

NPI Number1013953785
Practice location
230 Main St, Agawam, MA 01001-1838
Fax
413-789-5171
Last updated
February 20, 2012

Michael J Mcdonald is a Physician Assistant based in Agawam, MA. Michael J Mcdonald practices in Agawam, MA and has the professional credentials of PA. The NPI Number for Michael J Mcdonald is 1013953785 and holds a License No. 917 (MA). The current practice location address for Michael J Mcdonald is 230 Main St, Agawam, MA 01001-1838 and can be reached out via phone at 413-789-6800 and via fax at 413-789-5171.

Provider Profile Details

NPI Number
1013953785
Provider Name
Michael J Mcdonald
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
230 Main St, Agawam, MA 01001-1838
Phone Number
413-789-6800
Fax Number
413-789-5171
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 21, 2006
Last Update Date
February 20, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
230 Main St
Agawam, MA 01001-1838
City
Agawam
Zip
01001-1838
Phone Number
413-789-6800
Fax Number
413-789-5171
Agawam, MA 01001Get directions →

Provider Business Mailing Address Details

Address
230 Main St
Agawam, MA 01001-1838
City
Agawam
State
MA
Zip
01001-1838
Phone Number
413-789-6800
Fax Number
413-789-5171

License Information

License Number
917
License State
MA
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michael J Mcdonald, PA?

The NPI number of Michael J Mcdonald, PA is 1013953785. It was assigned on June 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Michael J Mcdonald, PA?

Michael J Mcdonald, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number 917.

Where does Michael J Mcdonald, PA practice?

The practice location is 230 Main St, Agawam, MA 01001-1838. The office can be reached at 413-789-6800 (phone) or 413-789-5171 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013953785 directly on the NPPES registry website.

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