KEVIN RYAN MCDONALD (NPI# 1689852410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689852410 |
Entity Type | Individual |
Full Name | KEVIN RYAN MCDONALD |
Credential | P.A. |
Practice Address |
425 Post Rd Fairfield CT 06824-6232 |
Mailing Address |
12 Hunt Ln Weston CT 06883-2433 |
Practice Telephone | 2032597442 |
Mailing Telephone | 7327785516 |
Enumeration Date | 2008-02-04 |
Last Update Date | 2017-01-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | C0003922 | MD | Physician Assistants & Advanced Practice Nursing Providers |
N | 363A00000X | Physician Assistant | 25MP00159800 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
23.002924 | CT | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
2012007333 | MO | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA18705 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730718560 | Kevin Mcdonald | Internal Medicine | Uw Hospitals and Clinic 600 Highland Ave, Madison, WI 53792-0001 | 2020-04-03 |
1447575899 | Kevin P Mcdonald | Pharmacist | 7601 23 Mile Rd, Shelby Township, MI 48316-4425 | 2010-03-29 |
1992810717 | Kevin C Mcdonald | Podiatrist | 1022 Lee Ann Dr Ne, Concord, NC 28025-2911 | 2006-08-20 |
1336632637 | Kevin Mcdonald | Student in an Organized Health Care Education/Training Program | 1919 Elm St N, Fargo, ND 58102-2416 | 2018-06-11 |
1700380680 | Kevin Patrick Mcdonald | Nurse Practitioner | 301 University Blvd, Galveston, TX 77555-5302 | 2018-03-23 |
1992083059 | Kevin Thomas Mcdonald | Specialist/Technologist | 216 Lantana Dr, Hockessin, DE 19707-8805 | 2011-07-23 |
1548362866 | Kevin R Mcdonald | Urology | 2214 Canterbury Dr, Suite 308, Hays, KS 67601-2386 | 2006-09-05 |
1033132634 | Kevin Mcdonald | Emergency Medicine | 4646 John R St, Detroit, MI 48201-1916 | 2006-07-25 |
Street Address |
425 POST RD |
City | FAIRFIELD |
State | CT |
Zip Code | 06824-6232 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336146802 | Gioia Jo Riccio | Radiology | 425 Post Rd, Fairfield, CT 06824-6232 | 2005-06-30 |
1730669920 | Angelina Angeli | Nurse Practitioner | 425 Post Rd, Fairfield, CT 06824-6232 | 2018-08-16 |
1649778614 | Rdr Radiology LLC | Radiology | 425 Post Rd, Fairfield, CT 06824-6232 | 2018-01-25 |
1023528270 | Skylar Krystina Robinson | Physician Assistant | 425 Post Rd, Fairfield, CT 06824-6232 | 2017-10-02 |
1083151898 | Brian Clancy | Physician Assistant | 425 Post Rd, Fairfield, CT 06824-6232 | 2017-01-31 |
1962885368 | Deepthi Naik | Family Medicine | 425 Post Rd, Fairfield, CT 06824 | 2015-07-02 |
1225370901 | Eric Louis Alter | Internal Medicine | 425 Post Rd, Fairfield, CT 06824-6232 | 2013-03-20 |
1356668669 | Steven V Kardos | Urology | 425 Post Rd, 2nd Floor, Fairfield, CT 06824-6232 | 2010-04-26 |
1144482308 | Nicholas Lillo | Internal Medicine | 425 Post Rd, Fairfield, CT 06824-6232 | 2008-06-30 |
1619134269 | Matthew S Wosnitzer | Urology | 425 Post Rd, Suite 204, Fairfield, CT 06824-6232 | 2008-05-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942819826 | Lauren J Cotton | Student in an Organized Health Care Education/Training Program | 1073 North Benson Road, Fairfield, CT 06824 | 2020-07-28 |
1831652064 | Seagull Counseling & Therapy LLC | Social Worker | 35 Nutmeg Lane, Fairfield, CT 06824 | 2019-04-14 |
1871018390 | Richard Matthew Carraway | Nurse Practitioner | 117 Carlynn Drive, Fairfield, CT 06824 | 2017-08-05 |
1811426695 | Fairfield County Health & Wellness Services II LLC | Psychiatry & Neurology | 325 Reef Road/suite 109, Fairfield, CT 06824 | 2017-06-06 |
1487198214 | Evamarie Koehler Elinskas | Speech-Language Pathologist | 50 Potters Lane, Fairfield, CT 06824 | 2016-12-13 |
1447794441 | Nicholas C Kopazna | Counselor | 433 Meadow St, Fairfield, CT 06824 | 2016-12-09 |
1245686997 | Tyler Wayne Vitzthum | Chiropractor | 1995 Post Rd., Fairfield, CT 06824 | 2016-05-12 |
1184087660 | Beth Segaloff | Social Worker | 191 Catherine Terrace, Fairfield, CT 06824 | 2016-04-01 |
1518342781 | April Vanbergen | Counselor | 1275 Post Rd., Suite A5, Fairfield, CT 06824 | 2015-07-29 |
1982089181 | Mary Cilio | Social Worker | 173 Samp Mortar Drive, Fairfield, CT 06824 | 2015-07-29 |
Find all providers in zip 06824 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225668205 | Melissa Hisako Reagan | Physician Assistant | 1261 Travis Blvd Ste 100, Fairfield, CA 94533-4804 | 2020-01-18 |
1467639385 | Akosua Rodriguez | Physician Assistant | 2720 Low Ct Fl 2, Fairfield, CA 94534-9771 | 2008-01-22 |
1215061775 | Terrelyn C Fernandez | Physician Assistant | 1620 Pennsylvania Ave Ste C, Fairfield, CA 94533-3509 | 2007-03-15 |
1679618318 | Jennifer Chapman | Physician Assistant | 1801 Fairfield Beach Rd, Fairfield, CT 06824-6524 | 2007-02-20 |
1336251610 | Douglas K Casperson | Physician Assistant | 223 W Main, Ste A, Fairfield, MT 59436-6503 | 2006-08-31 |
1437142379 | Kayla Shaye Bell | Physician Assistant | 213 Nw 11th Street, Suite A, Fairfield, IL 62837 | 2005-08-25 |
1629513270 | Emily Elizabeth Helling | Physician Assistant | 2000 S Main St, Fairfield, IA 52556-9572 | 2017-01-05 |
1821546607 | Danielle Marie Centone | Physician Assistant | 75 Kings Highway Cutoff, Fairfield, CT 06824-5340 | 2016-09-21 |
1629431002 | Cassaundra Kalman Craig | Physician Assistant | 5390 Dixie Hwy, Fairfield, OH 45014-4124 | 2016-04-01 |
1457735540 | Emily Woodall | Physician Assistant | 3000 Mack Rd, Fairfield, OH 45014-5335 | 2015-07-17 |
Find all providers in FAIRFIELD |
Please comment or provide details below to improve the information on KEVIN RYAN 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.