DR. JASON DEREK MCDONALD (NPI# 1477971711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477971711 |
| Entity Type | Individual |
| Full Name | DR. JASON DEREK MCDONALD |
| Credential | DC |
| Practice Address |
22711 S Ellsworth Rd # G106 Queen Creek AZ 85142-6788 |
| Mailing Address |
22711 S Ellsworth Rd Ste G106 Queen Creek AZ 85142-6788 |
| Practice Telephone | 4802646800 |
| Practice Fax Number | 4803004688 |
| Mailing Telephone | 4802646800 |
| Mailing Fax Number | 4803004688 |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2020-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 8350 | AZ | Chiropractic Providers |
| N | 111NN1001X |
Chiropractor Specialization: Nutrition |
8350 | AZ | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801424585 | Jason J Mcdonald | Emergency Medicine | 121 F Sevilla St, Corazon De Jesus, San Juan, NCR 15000 | 2020-03-30 |
| 1326455163 | Jason Mcdonald | Chiropractor | 17228 Lancaster Hwy, Suite 208, Charlotte, NC 28277-2078 | 2014-07-14 |
| 1497910517 | Jason Sean Mcdonald | Dentist | 434 W Ontario St, Ste 300, Chicago, IL 60654-7794 | 2008-07-29 |
| 1669559746 | Jason T Mcdonald | Pharmacist | 120 West Main, Stratford, OK 74872-0150 | 2006-11-01 |
| 1801864194 | Jason Mcdonald | Physical Therapist | 1801 Smucker Rd, Orrville, OH 44667-9191 | 2006-03-10 |
| 1801251483 | Jason Todd Mcdonald | Nurse Anesthetist, Certified Registered | 4301 W Markham St, Little Rock, AR 72205-7101 | 2015-12-23 |
| 1255646063 | Jason Mcdonald | Case Manager/Care Coordinator | 2805 E Zion Rd, Fayetteville, AR 72703-5195 | 2010-08-17 |
| 1205019791 | Jason Joseph Mcdonald | Physician Assistant | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2007-12-07 |
| Street Address |
22711 S ELLSWORTH RD # G106 |
| City | QUEEN CREEK |
| State | AZ |
| Zip Code | 85142-6788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083186969 | Jkm LLC | Chiropractor | 22711 S Ellsworth Rd # G106, Queen Creek, AZ 85142-6788 | 2018-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093346033 | Arizona Dental Professionals, P.C. | Dentist | 20311 S Ellsworth Rd Ste 101, Queen Creek, AZ 85142 | 2020-01-29 |
| 1073158903 | Jonathan Corey Barber | Physical Therapy Assistant | 22424 South Ellsworth Loop Road, #464, Queen Creek, AZ 85142 | 2019-11-14 |
| 1689142333 | Erin Sohr | Occupational Therapy Assistant | 4594 W Federal Way, San Tan Valley, AZ 85142 | 2018-11-10 |
| 1083180723 | Katelyn Hannabach | Physician Assistant | 21323 S Ellsworth Loop Rd Ste 101, Queen Creek, AZ 85142 | 2018-10-20 |
| 1043701899 | Brittany Leigh Amor | Dentist | 18550 E Rittenhouse Rd Ste 103, Queen Creek, AZ 85142 | 2018-05-28 |
| 1861925604 | Shani Thompson | Student in an Organized Health Care Education/Training Program | 22437 S 209th Way, Queen Creek, AZ 85142 | 2017-04-08 |
| 1689115164 | 360 Physical Therapy LLC | Physical Therapist | 21576 S Ellsworth Loop Rd, 150, Queen Creek, AZ 85142 | 2017-03-16 |
| 1891233714 | Candee J. Eisenhart | Nurse Practitioner | 21321 E Ocotillo Rd Ste 102, Queen Creek, AZ 85142 | 2017-02-11 |
| 1790231546 | Carrie Church | Nurse Practitioner | 20185 E Ocotillo Rd Ste 104, Queen Creek, AZ 85142 | 2016-08-31 |
| 1669836649 | Horizon Health and Wellness, Inc. | Community/Behavioral Health | 22713 S. Ellsworth Road, Building A, Queen Creek, AZ 85142 | 2016-04-06 |
| Find all providers in zip 85142 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902323389 | Spinewise LLC | Chiropractor | 18407 E Cattle Dr, Queen Creek, AZ 85142-5175 | 2017-08-25 |
| 1811427396 | Erica Louise Hargrave | Chiropractor | 22719 S Ellsworth Rd Ste 104, Queen Creek, AZ 85142-6128 | 2017-06-15 |
| 1922542133 | D & P Medical Consulting LLC | Chiropractor | 21321 E Ocotillo Rd Ste 121, Queen Creek, AZ 85142-5994 | 2016-12-06 |
| 1306396601 | Qc Medical Group LLC | Chiropractor | 21323 S Ellsworth Loop Rd, # 101, Queen Creek, AZ 85142-9864 | 2016-10-11 |
| 1881087567 | Chirotrendz LLC | Chiropractor | 18610 E Rittenhouse Rd Ste A101, Queen Creek, AZ 85142-4503 | 2015-03-05 |
| 1588005136 | Tyler John Bradshaw | Chiropractor | 21321 E Ocotillo Rd Ste 125, Queen Creek, AZ 85142-5995 | 2013-07-11 |
| 1205271103 | James Burt Ward | Chiropractor | 85 W Pasture Canyon Dr, Queen Creek, AZ 85143-6232 | 2013-05-06 |
| 1093954893 | Brett Baker | Chiropractor | 20851e Rittenhouse Rd E103, Queen Creek, AZ 85142-4493 | 2009-02-18 |
| 1215194360 | Chris M Robinson | Chiropractor | 21321 E Ocotillo Rd Ste K125, Queen Creek, AZ 85242-7593 | 2008-05-16 |
| 1295919017 | Aspen Star Enterprises LLC | Chiropractor | 18472 E Walnut Rd, Queen Creek, AZ 85242-3554 | 2007-12-28 |
| Find all providers in QUEEN CREEK | ||||
| City | QUEEN CREEK |
| Zip Code | 85142 |
Please comment or provide details below to improve the information on DR. JASON DEREK MCDONALD.
| 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.