KIMBERLY RAYE MCDONALD (NPI# 1598077430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598077430 |
| Entity Type | Individual |
| Full Name | KIMBERLY RAYE MCDONALD |
| Credential | M.D. |
| Practice Address |
2500 N State St Jackson MS 39216-4500 |
| Practice Telephone | (601) 984-5210 |
| Practice Fax Number | 6018154942 |
| Mailing Telephone | (601) 984-5210 |
| Mailing Fax Number | 6018154942 |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
25161 | MS | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 25161 | MS | Allopathic & Osteopathic Physicians |
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
25161 | MS | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 700 Childrens Dr, Human Genetics, Columbus, OH 432052664 | 6147223535 | 6147223546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396945499 | Kimberly Mcdonald | Licensed Practical Nurse | 3 Elsworth Dr, Sicklerville, NJ 08081-4430 | 2007-07-18 |
| 1982742037 | Kimberly Mcdonald | Counselor | 10925 N 29th St, Tampa, FL 33612-3844 | 2007-02-01 |
| 1740836501 | Kimberly Lynette Mcdonald | Nurse Practitioner | 101 Sivley Rd Sw, Huntsville, AL 35801-4421 | 2019-08-16 |
| 1326694746 | Kimberly L Mcdonald | Psychologist | 475 22nd Ave Rm 127, Honolulu, HI 96816-4400 | 2019-08-12 |
| 1639628704 | Kimberly Mcdonald | Registered Nurse | 2565 Cowan Blvd, Fredericksburg, VA 22401-8440 | 2016-09-29 |
| 1215301619 | Kimberly Mcdonald | Counselor | 44 Cooper St Ste 102, Woodbury, NJ 08096-4640 | 2015-11-23 |
| 1962810838 | Kimberly Ilon Mcdonald | Counselor | 1555 E Flamingo Rd, Suite 158, Las Vegas, NV 89119-5258 | 2014-07-23 |
| 1033369285 | Kimberly Paige Mcdonald | Nurse Practitioner | 919 Murfreesboro Rd, Franklin, TN 37064-3002 | 2008-09-24 |
| 1679729602 | Kimberly K Mcdonald | Social Worker | 730 10th Ave, Baldwin, WI 54002-9416 | 2008-08-11 |
| 1053313064 | Kimberly Welty Mcdonald | Preventive Medicine | 201 Government Cir, Greenville, NC 27834-8198 | 2005-08-10 |
| Street Address |
2500 N STATE ST |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556231 | University Ophthalmology Associates | Ophthalmology | 2500 N State St, Ste B329, Jackson, MS 39216-4500 | 2005-05-24 |
| 1396346607 | Ashleigh Renfroe Hannah | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2020-11-03 |
| 1770182438 | Tara P. Carter | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2020-10-22 |
| 1679189849 | Raegan Wilson | Registered Nurse | 2500 N State St, Jackson, MS 39216-4500 | 2020-09-22 |
| 1851905095 | Violet Maloba Awori | Student in an Organized Health Care Education/Training Program | 2500 N State St, Jackson, MS 39216-4500 | 2020-09-04 |
| 1295348639 | Kassidy Voinche | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-25 |
| 1215549423 | Brittney Leeann Williams | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-19 |
| 1912519364 | Rashmi Verma | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-18 |
| 1982215414 | Anita Dhanrajani | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-10 |
| 1528676954 | Nicholas Mcafee | Psychologist | 2500 N State St, Jackson, MS 39216-4500 | 2020-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| 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 |
|---|---|---|---|---|
| 1417213836 | Ashley Nicole Stanley-copeland | Psychiatry & Neurology | 2500 N State St, Jackson, MS 39216-4500 | 2012-04-10 |
| 1003006206 | Lamar Davis II | Psychiatry & Neurology | 2500 N State St, Jackson, MS 39216 | 2007-07-25 |
| 1609929470 | Upa Pllc Neurology | Psychiatry & Neurology | 2500 N State St, Jackson, MS 39216-4500 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386147874 | Richard John Gorman Md | Psychiatry & Neurology | 1903 Pass Rd Ste A, Biloxi, MS 39531-4103 | 2018-03-12 |
| 1033521513 | Varun Sreenivasan | Psychiatry & Neurology | 7730 Old Canton Rd Bldg A, Madison, MS 39110-9299 | 2014-06-02 |
| 1972720175 | Anderson Regional Medical Center | Psychiatry & Neurology | 2124 14th St, Meridian, MS 39301 | 2007-04-19 |
| 1366562431 | Richard John Gorman | Psychiatry & Neurology | 1903 Pass Rd Ste A, Biloxi, MS 39531-4103 | 2007-03-30 |
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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.