ANDREW TAD MCDONALD (NPI# 1972618775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972618775 |
| Entity Type | Individual |
| Full Name | ANDREW TAD MCDONALD |
| Credential | M.D. |
| Practice Address |
1725 N 5th St Terre Haute IN 47804-4010 |
| Mailing Address |
221 S 6th St Terre Haute IN 47807-4214 |
| Practice Telephone | 8122423005 |
| Practice Fax Number | 8122423054 |
| Mailing Telephone | 8122423005 |
| Mailing Fax Number | 8122423054 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2015-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
36113741 | IL | Allopathic & Osteopathic Physicians |
| Y | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
01062210A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 000000481762 | 01 | |
| SAGAMORE | 351904269E | 01 | |
| AETNA | 7037789 | 01 | |
| IN | RAILROAD MEDICARE | P00866719 | 01 |
| IN | N357972 | 05 | |
| RAILROAD MEDICARE PALAMET | P00360017 | 01 | |
| IN | 200826590 | 05 | |
| IN | 351904269250 | 05 | |
| CIGNA | 5055772 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346874377 | Andrew Mcdonald II | Pharmacist | 4111 Fm 1764 Rd Ste F, Santa Fe, TX 77517-3854 | 2020-02-28 |
| 1053710293 | Andrew Mcdonald | Dentist | 8010 Palomas Ave Suite A, Albuquerque, NM 87109 | 2014-08-13 |
| 1588647580 | Andrew David Mcdonald | Surgery | 915 W Michigan St, Sidney, OH 45365-2491 | 2005-11-22 |
| 1407478126 | Andrew James Mcdonald | Respiratory Therapist, Registered | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-05-15 |
| 1114567062 | Andrew Scott Mcdonald | Behavioral Analyst | 914 N Canal St, Carlsbad, NM 88220-5110 | 2020-01-08 |
| 1942793146 | Andrew Mcdonald | Student in an Organized Health Care Education/Training Program | 1120 W Michigan St # Cl642, Indianapolis, IN 46202-5209 | 2018-06-12 |
| 1073063376 | Andrew Mcdonald | Physical Therapist | 1200 Magnolia Way, Blue Springs, MS 38828-6000 | 2016-10-11 |
| 1548613078 | Andrew S Mcdonald | Specialist/Technologist | 765 S Lapeer Rd, Oxford, MI 48371-6510 | 2016-07-20 |
| 1265866784 | Andrew Lawrence Mcdonald | Dentist | 17705 Hale Ave, Suite A1, Morgan Hill, CA 95037-4340 | 2013-09-03 |
| 1114286556 | Andrew Michael Mcdonald | Radiology | 1700 6th Ave S, Hazelrig - Salter Radiation Oncology Center, Birmingham, AL 35233 | 2012-05-04 |
| Street Address |
1725 N 5TH ST |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47804-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154963445 | Collin Wollenmann | Clinic/Center | 1725 N 5th St, Terre Haute, IN 47804-4010 | 2019-10-08 |
| 1275189284 | Emily Knetsch | Speech-Language Pathologist | 1725 N 5th St, Terre Haute, IN 47804-4010 | 2019-08-15 |
| 1255987186 | Kendall Bruner | Physical Therapist | 1725 N 5th St, Terre Haute, IN 47804-4010 | 2019-08-15 |
| 1801365598 | Andrew Ray Hughes | Registered Nurse | 1725 N 5th St, Terre Haute, IN 47804-4010 | 2018-11-26 |
| 1831673656 | Amanda Kathleen Shelton | Specialist/Technologist, Other | 1725 N 5th St, Terre Haute, IN 47804-4010 | 2018-09-18 |
| 1164913703 | Kacy Jo Rogers | Nurse Practitioner | 1725 N 5th St, Terre Haute, IN 47804-4010 | 2018-05-18 |
| 1205339157 | Michelle L Rupska | Nurse Practitioner | 1725 N 5th St, Terre Haute, IN 47804-4010 | 2018-03-16 |
| 1770013328 | Attie Jane Kempf | Physical Therapist | 1725 N 5th St, Terre Haute, IN 47804-4010 | 2017-06-15 |
| 1942737010 | Chantelle M Allen | Anesthesiology | 1725 N 5th St, Terre Haute, IN 47804-4010 | 2017-05-18 |
| 1356878623 | Jessica Ann Hagan | Anesthesiology | 1725 N 5th St, Terre Haute, IN 47804-4010 | 2017-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568971885 | Tiffany Marshall | Physical Therapist | North At Uap Bone & Joint Center, Lower Level 1725 North 5th Street, Terre Haute, IN 47804 | 2017-09-29 |
| 1336565423 | Deondra Allison Cottrill | Physical Therapy Assistant | 1725 N. 5th Street, Union Hospital Therapy Services, Terre Haute, IN 47804 | 2014-03-13 |
| 1043635170 | Patricia Klos | Physical Therapy Assistant | 1606 Nth 7th Street, Terre Haute, IN 47804 | 2014-02-26 |
| 1043565476 | Debra Denehie Hills | Registered Nurse | 620 8th Avenue, Terre Haute, IN 47804 | 2012-07-23 |
| 1841503257 | Meredeth Su Gray | Dentist | 1608 Lafayette Avenue, Terre Haute, IN 47804 | 2010-07-15 |
| 1083946628 | John Barton, Lpt | Health Maintenance Organization | 1818 N 3rd Street, Terre Haute, IN 47804 | 2010-02-08 |
| 1750584009 | Kool Smiles In-3, PC | Dentist | 1800 Fort Harrison Rd, Terra Haute, IN 47804 | 2007-06-06 |
| 1619006988 | Union Hospital Inc | Student in an Organized Health Care Education/Training Program | 1513 N 6 1-2 Street, Terre Haute, IN 47804 | 2007-03-05 |
| 1730243080 | John Lee Nichols | Dentist | 1246 Maple Ave, Terre Haute, IN 47804 | 2006-12-21 |
| 1093894057 | Isaac N Mitre | Obstetrics & Gynecology | 1623 N 4th Street, Terre Haute, IN 47804 | 2006-11-02 |
| Find all providers in zip 47804 | ||||
| Taxonomy Code | 2080S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Sports Medicine |
| A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346294121 | Daniel E Kraft | Pediatrics | 2705 N Lebanon St Ste 210, Lebanon, IN 46052-8622 | 2006-05-19 |
| City | TERRE HAUTE |
| Zip Code | 47804 |
Please comment or provide details below to improve the information on ANDREW TAD 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.