MICHAEL J MCDONOUGH


Address: 11511 Canterwood Blvd Ste 50, Gig Harbor, WA 98332-5816
Phone: 2538515155

MICHAEL J MCDONOUGH (NPI# 1477524841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477524841
Entity Type Individual
Full Name MICHAEL J MCDONOUGH
Credential MD
Practice Address 11511 Canterwood Blvd Ste 50
Gig Harbor
WA 98332-5816
Mailing Address 4230 Bridgeport Way W Ste B
University Place
WA 98466-4335
Practice Telephone 2538515155
Practice Fax Number 2536278792
Mailing Telephone 2537796325
Mailing Fax Number 2536278792
Enumeration Date 2006-02-01
Last Update Date 2020-09-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
MD00033187 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 8277048 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1802 Yakima Ave, Suite 103, Tacoma, WA 984054499 2532721077 2536278792

Other Providers MICHAEL MCDONOUGH

NPI Name Taxonomy Address Enumeration
1689960221 Michael C Mcdonough Psychologist 112 Beech Street, Suite 1a, Gate City, VA 24251 2011-06-22
1366759516 Michael Francis Mcdonough Pharmacist 2901 216th St, St Mary's Hospital for Children- Pharmacy, Bayside, NY 11360-2810 2010-09-09
1407169683 Michael Mcdonough Social Worker 31 E Montauk Hwy, Hampton Bays, NY 11946-1816 2010-07-16
1306970009 Michael Mcdonough Pharmacist 940 Belmont St, Brockton, MA 02301-5596 2007-03-15
1043206535 Michael W Mcdonough Podiatrist 595 W Granada Blvd, Siute F, Ormond Beach, FL 32174-5190 2005-09-21

Office Location

Street Address 11511 CANTERWOOD BLVD STE 50
City GIG HARBOR
State WA
Zip Code 98332-5816

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487625851 Dean G Mastras Radiology 11511 Canterwood Blvd Ste 50, Gig Harbor, WA 98332-5816 2006-02-01
1366694796 Peninsula Rad Onc Ctr LLC Radiology 11511 Canterwood Blvd Ste 50, Gig Harbor, WA 98332-5816 2008-10-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023584125 William Edmondson Wells Counselor Wccw, 9601 Bujacick Rd. Nw, Gig Harbor, WA 98332 2018-10-17
1417446758 Janelle Elizabeth Becker Physician Assistant 11511 Canterwood Blvd Nw Ste 205, Gig Harbor, WA 98332 2018-05-02
1205252046 Jenny Wical Registered Nurse 12201 Osprey Dr. Nw, Gig Harbor, WA 98332 2014-03-17
1134486616 Jacinda Leigh Pickett Pharmacist 10990 Harbor Hill Dr, Gig Harbor, WA 98332 2012-04-20
1114242898 Michael Robert Conger Urology 9704 Woodworth Ave Nw, Gig Harbor, WA 98332 2010-04-06
1346473899 Robert Howard Lerman Internal Medicine 9770 44th Ave Nw, Suite 102, Gig Harbor, WA 98332 2009-09-01
1447406699 Franciscan Health System General Acute Care Hospital 11567 Canterwood Blvd, Gig Harbor, WA 98332 2008-08-07
1730303249 Richard Mason Coyner Dentist 7715 Pioneer Way, Gig Harbor, WA 98332 2007-04-13
1902978711 Byron D Fenton Chiropractor 14619 Purdy Dr, Gig Harbor, WA 98332 2006-11-15
1063515351 Gordon Bernstein Radiology 5304 W Old Stump Dr Nw, Gig Harbor, WA 98332 2006-09-05
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487625851 Dean G Mastras Radiology 11511 Canterwood Blvd Ste 50, Gig Harbor, WA 98332-5816 2006-02-01
1366694796 Peninsula Rad Onc Ctr LLC Radiology 11511 Canterwood Blvd Ste 50, Gig Harbor, WA 98332-5816 2008-10-16
1669443032 Kenneth S Bergman Radiology 11511 Canterwood Blvd Nw, Suite 50, Gig Harbor, WA 98332-5813 2006-02-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669829289 Rosanna Hoi Lam Yeung Radiology 12040 Ne 128th St # Ms -63, Kirkland, WA 98034 2016-05-24
1508251000 Anthony Hoai-nam Pham Radiology 19917 7th Ave Ne Ste 100, Poulsbo, WA 98370-6555 2015-04-01
1841603479 Sherry Zhao Radiology 7350 W Deschutes Ave Ste A, Kennewick, WA 99336 2014-06-11
1467877670 John Paul Lytle Jr. Radiology 6729 204th Dr. Ne, Redmond, WA 98053 2014-02-25
1962824219 The Polyclinic Radiology 1225 Madison St, Seattle, WA 98104-1336 2014-01-06
1720356090 Herbert Carl Berry Radiology 65 E. Roanoke St., Seattle, WA 98102 2011-12-01
1609175660 Legacy Salmon Creek Hospital Radiology 2121 Ne 139th St Ste 100, Vancouver, WA 98686-2316 2011-03-16
1861794992 Thomas Ward Griffin Radiology 3620 E Prospect St, Seattle, WA 98112-4440 2010-11-22
1407170467 Aaron Shingo Kusano Radiology 1959 Ne Pacific St. Box 356043, University of Washington Department of Radiation Oncolo, Seattle, WA 98195 2010-03-19
1184866527 Justin William Suszko Radiology 4525 3rd Ave Se Ste 100, Lacey, WA 98503-1010 2009-03-31
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Competitor

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City GIG HARBOR
Zip Code 98332

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Dataset Information

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.

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