JASON A MACDONALD (NPI# 1902412661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902412661 |
| Entity Type | Individual |
| Full Name | JASON A MACDONALD |
| Credential | AGACNP |
| Practice Address |
4755 Ogletown Stanton Rd Ste 2e99 Newark DE 19718-2200 |
| Practice Telephone | 3027335982 |
| Practice Fax Number | 3027336081 |
| Mailing Telephone | 3027335982 |
| Mailing Fax Number | 3027336081 |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | L1-0041369 | DE | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
LP-0010386 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
LP-0010386 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831412964 | Jason Macdonald | Physician Assistant | 801 N Bedell Ave, Del Rio, TX 78840-4112 | 2010-03-03 |
| Street Address |
4755 OGLETOWN STANTON RD STE 2E99 |
| City | NEWARK |
| State | DE |
| Zip Code | 19718-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912907197 | Michael M Moussouttas | Psychiatry & Neurology | 4755 Ogletown Stanton Rd Ste 2e99, Newark, DE 19718-2559 | 2005-07-28 |
| 1437612876 | Amanda Elizabeth Williams | Registered Nurse | 4755 Ogletown Stanton Rd Ste 2e99, Newark, DE 19718-2049 | 2019-04-11 |
| 1790260115 | Sarah Marie Pingar | Physician Assistant | 4755 Ogletown Stanton Rd Ste 2e99, Newark, DE 19718-2200 | 2018-10-02 |
| 1477060564 | Jodi Kahan | Nurse Practitioner | 4755 Ogletown Stanton Rd Ste 2e99, Newark, DE 19718 | 2018-01-10 |
| 1891200424 | Jamie Feinour | Nurse Practitioner | 4755 Ogletown Stanton Rd Ste 2e99, Newark, DE 19718-2200 | 2017-12-05 |
| 1205340049 | Rebecca L Avello | Physician Assistant | 4755 Ogletown Stanton Rd Ste 2e99, Newark, DE 19718-2200 | 2017-11-30 |
| 1528598257 | John W Sammon | Nurse Practitioner | 4755 Ogletown Stanton Rd Ste 2e99, Newark, DE 19718-2200 | 2017-06-15 |
| 1730519372 | Shanna Marie Amoroso | Registered Nurse | 4755 Ogletown Stanton Rd Ste 2e99, Newark, DE 19718-2200 | 2013-11-18 |
| 1750714283 | Jenna Heaney | Registered Nurse | 4755 Ogletown Stanton Rd Ste 2e99, Newark, DE 19718-2200 | 2013-08-20 |
| 1912345950 | Hersh Patel | Anesthesiology | 4755 Ogletown Stanton Rd Ste 2e99, Newark, DE 19718-6402 | 2013-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679026272 | Vikashsingh Parshin Rambhujun | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Road, Suite 2875, Newark, DE 19718 | 2016-07-29 |
| 1730536053 | David Nathan Levine | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, Christiana Health Care, Newark, DE 19718 | 2016-05-17 |
| 1831570332 | Waqas Abid | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, S-le45, Newark, DE 19718 | 2015-06-11 |
| 1366886368 | Amanda J Taylor | Family Medicine | 4755 Ogletown Stanton Rd Ste 6e34, Newark, DE 19718 | 2013-04-20 |
| 1114360872 | Kalpana Suresh | Surgery | 4755 Ogletown-stanton Rd., Newark, DE 19718 | 2013-04-12 |
| 1568580769 | Ember L. Crevar | Pediatrics | 4755 Ogletown Stanton Rd., Christiana Care Hospital - Dept. of Pediatrics, Newark, DE 19718 | 2007-03-26 |
| 1336283803 | Kevin William Smallwood | Physician Assistant | 4755 Ogletown-stanton Dr, Suite 1e50, Newark, DE 19718 | 2007-02-17 |
| 1023066404 | Samuel G Putnam IIi | Radiology | 4755 Ogletown Santon Road, Suite 1e20, Newark, DE 19718 | 2006-05-05 |
| 1053374181 | Hung Quang Dam | Nuclear Medicine | Nuclear Medicine, 4755 Ogletown-stanton Rd, Newark, DE 19718 | 2006-04-10 |
| 1346211018 | Robert Flinn | Internal Medicine | 4655 Ogletown-stanton Road, Suite 5343, Newark, DE 19718 | 2006-01-30 |
| Find all providers in zip 19718 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746553 | Ellen Smith | Nurse Practitioner | 340 Airis Dr., Suite 203, Newark, NJ 07114 | 2020-09-30 |
| 1568029411 | Ashley Nicole Warren | Nurse Practitioner | Newark Beth Israel Medical Center, 201 Lyons Ave, Newark, NJ 07112-1782 | 2019-05-28 |
| 1871077404 | Aisha E Wagner | Nurse Practitioner | 1304 Driving Park Avenue, Newark, NY 14513 | 2018-09-19 |
| 1851884456 | Dionne Hutson Hendy | Nurse Practitioner | 52-54 Richelieu Ter, Newark, NJ 07106-1648 | 2018-06-08 |
| 1922472620 | Laura Kretz Mayover | Nurse Practitioner | 4755 Ogletown Stanton Rd Ste 1e50, Newark, DE 19718-2200 | 2015-11-18 |
| 1710312848 | Saino Mathew | Nurse Practitioner | 418 N 13th St, Apt # 1, Newark, NJ 07107-1384 | 2013-09-09 |
| 1871886549 | Debora Gildin | Nurse Practitioner | Continental Airline's Take-care Health Center, Newark International Airport Terminal C, Suite 136, Newark, NJ 07114 | 2011-05-27 |
| 1730486754 | Patricia Marie Wolf | Nurse Practitioner | 1818 Preston Pl, Newark, OH 43055-9328 | 2011-02-28 |
| 1518192640 | Michaelene M Baker Urban | Nurse Practitioner | Building B 86, Omega Drive, Newark, DE 19713-6004 | 2009-05-19 |
| 1316187594 | Sofrado Laggui Samonte Jr. | Nurse Practitioner | 25 Clifton Ave, Apt. 1608-d, Newark, NJ 07104-1872 | 2009-02-27 |
| Find all providers in NEWARK | ||||
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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.