DR. JOHN THOMAS MACDONALD (NPI# 1306873625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306873625 |
| Entity Type | Individual |
| Full Name | DR. JOHN THOMAS MACDONALD |
| Credential | M.D. |
| Practice Address |
4225 Golden Valley Rd Golden Valley MN 55422-4215 |
| Practice Telephone | 7635880661 |
| Practice Fax Number | 7632872310 |
| Mailing Telephone | 7635880661 |
| Mailing Fax Number | 7632872310 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
23433 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA | 0501645 | 01 |
| MN | BCBS OF MN | 10534MA | 01 |
| WI | 30229300 | 05 | |
| MN | AMERICA'S PPO | 24039 | 01 |
| MN | HEALTHPARTNERS | HP13882 | 01 |
| MN | PREFERRED ONE | 0265010 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912312943 | John Matthew Macdonald | Optometrist | 1860 Woodmoor Dr Ste 103, Monument, CO 80132-9073 | 2014-06-28 |
| 1720197908 | John Stephen Macdonald | Internal Medicine | 325 West 15th Street, New York, NY 10011 | 2006-08-30 |
| 1609808963 | John William Macdonald II | Dentist | 717 S. Lindbergh Blvd., St. Louis, MO 63131 | 2006-07-07 |
| 1245284256 | John W Macdonald | Family Medicine | 202 North Church Street, Dayton, TX 77535-2604 | 2006-05-22 |
| 1275062903 | John Ross Macdonald | Internal Medicine | Abington Memorial Hospital, Gme Office, 1200 Old York Road, Abington, PA 19001-3788 | 2017-06-06 |
| 1518326529 | John Cameron Macdonald IIi | Physician Assistant | 601 Broadway, 6th Floor, Seattle, WA 98122-5330 | 2016-02-18 |
| 1598120958 | John A Macdonald | Counselor | 4345 Us Highway 9, Freehold, NJ 07728-4215 | 2015-12-29 |
| 1013383488 | John Macdonald | Marriage & Family Therapist | 1706 Wayne Memorial Dr, Goldsboro, NC 27534-2240 | 2015-08-19 |
| 1013290527 | John A Macdonald | Pharmacist | 4700 S Halsted St, Chicago, IL 60609-4416 | 2011-09-21 |
| 1659663458 | John Ewald Macdonald | Pharmacist | 1589 Skeet Club Rd, High Point, NC 27265-8817 | 2011-05-11 |
| Street Address |
4225 GOLDEN VALLEY RD |
| City | GOLDEN VALLEY |
| State | MN |
| Zip Code | 55422-4215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588656417 | Praful M. Kelkar | Specialist | 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 | 2005-08-17 |
| 1669853099 | Anthony Odland | Clinical Neuropsychologist | 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 | 2015-06-11 |
| 1952701989 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 | 2014-08-27 |
| 1144662347 | Devri Noelle Lybeck | Physical Therapist | 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 | 2013-07-29 |
| 1275893943 | Andrea Catherine Mierau | Physical Therapist | 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 | 2012-05-29 |
| 1114202744 | Melissa Castro | Clinical Neuropsychologist | 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 | 2011-10-14 |
| 1629375142 | Jill Ramsay Honnoll | Physical Therapist | 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 | 2011-02-18 |
| 1952616690 | Akram Hussain Dastagir | Internal Medicine | 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 | 2010-08-18 |
| 1851610182 | Rachel Fine | Physical Medicine & Rehabilitation | 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 | 2010-05-26 |
| 1225271646 | Jessica Lauren Stulc | Psychiatry & Neurology | 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 | 2009-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
| 1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
| 1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
| 1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
| 1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
| 1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
| 1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
| 1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
| 1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
| 1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
| Find all providers in zip 55422 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598712465 | Donald John Chadwick | Psychiatry & Neurology | 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346735750 | Hicham Dabaja | Psychiatry & Neurology | 200 1st St Sw, Rochester, MN 55905-0001 | 2018-06-27 |
| 1205200383 | Child Neurology Solutions Pllc | Psychiatry & Neurology | 360 Sherman St, Suite 399, Fort Road Medical Center, Saint Paul, MN 55102-2564 | 2015-11-30 |
| 1962829432 | Jamie Marie Eskuri | Psychiatry & Neurology | 200 University Ave E, Saint Paul, MN 55101-2507 | 2014-03-23 |
| 1154607489 | Janet Elgallab | Psychiatry & Neurology | 2828 Chicago Ave Ste 200, Minneapolis, MN 55407-1544 | 2011-11-01 |
| 1154563401 | Amanda M Moen | Psychiatry & Neurology | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2009-04-01 |
| 1306092655 | Laura Catherine Speltz | Psychiatry & Neurology | 2512 S 7th St, Minneapolis, MN 55454-1404 | 2008-08-18 |
| 1154587863 | Nitin Agarwal | Psychiatry & Neurology | 225 Smith Ave N, Saint Paul, MN 55102-2533 | 2008-08-01 |
| 1134318488 | Nicole Jeanette Williams Doonan | Psychiatry & Neurology | 200 University Ave E, Saint Paul, MN 55101-2507 | 2007-10-22 |
| 1790997393 | Sonya Grace Wang | Psychiatry & Neurology | 5775 Wayzata Blvd Ste 255, Minneapolis, MN 55416-1275 | 2007-05-04 |
| 1740360734 | Beverly S Wical | Psychiatry & Neurology | 200 University Ave E, Saint Paul, MN 55101-2507 | 2006-10-16 |
| Find all providers with the same taxonomy | ||||
| City | GOLDEN VALLEY |
| Zip Code | 55422 |
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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.