David R Donaldson (NPI# 1114914512, PAC ID# 4587681515) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1114914512 |
| PAC ID by PECOS | 4587681515 |
| Professional Enrollment ID | I20051028000946 |
| Full Name | David R Donaldson |
| Organization Legal Name | MV POCATELLO ENT, LLC |
| Address |
333 N 18th Ave Suite B3 Pocatello ID 83201-3358 |
| Phone Number | 2082322146 |
| Gender | M |
| Credential | MD |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 2567706096 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130028 | PORTNEUF MEDICAL CENTER |
| 131325 | BINGHAM MEMORIAL HOSPITAL |
| 131309 | CARIBOU MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 98 Poplar St, Blackfoot, ID 83221-1758 | 2087823993 | BMH INC |
| 333 N 18th Ave, Suite B3, Pocatello, ID 83201-3358 | 2082322146 | MV POCATELLO ENT, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 88% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 99% |
| Organization Legal Name | MV POCATELLO ENT, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Redding | Physician Assistant | Mv Pocatello Ent, LLC | 333 N 18th Ave, Suite B3, Pocatello, ID 83201-3358 |
| Kraig C Mcgee | Otolaryngology | Mv Pocatello Ent, LLC | 333 N 18th Ave, Suite B3, Pocatello, ID 83201-3358 |
| Street Address |
333 N 18TH AVE SUITE B3 |
| City | POCATELLO |
| State | ID |
| Zip | 83201-3358 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roger A Cook | Anesthesiology | Sei Anesthesia Pllc | 333 N 18th Ave, Suite A, Pocatello, ID 83201-3358 |
| Daniel D Snell | Anesthesiology | Sei Anesthesia Pllc | 333 N 18th Ave, Suite A, Pocatello, ID 83201-3358 |
| Luke J Jackson | Certified Registered Nurse Anesthetist (crna) | Sei Anesthesia Pllc | 333 N 18th Ave, Suite A, Pocatello, ID 83201-3358 |
| Nicholas F Stoddard | Certified Registered Nurse Anesthetist (crna) | Sei Anesthesia Pllc | 333 N 18th Ave, Suite A, Pocatello, ID 83201-3358 |
| Benson S Roper | Certified Registered Nurse Anesthetist (crna) | Sei Anesthesia Pllc | 333 N 18th Ave, Suite A, Pocatello, ID 83201-3358 |
| Richard A Marler | Certified Registered Nurse Anesthetist (crna) | Sei Anesthesia Pllc | 333 N 18th Ave, Suite A, Pocatello, ID 83201-3358 |
| Kenneth M Knapp | Certified Registered Nurse Anesthetist (crna) | Sei Anesthesia Pllc | 333 N 18th Ave, Suite A, Pocatello, ID 83201-3358 |
| Jessica Redding | Physician Assistant | Mv Pocatello Ent, LLC | 333 N 18th Ave, Suite B3, Pocatello, ID 83201-3358 |
| Alex J Bringhurst | Certified Registered Nurse Anesthetist (crna) | Sei Anesthesia Pllc | 333 N 18th Ave, Suite A, Pocatello, ID 83201-3358 |
| Micah J Scott | Certified Registered Nurse Anesthetist (crna) | Sei Anesthesia Pllc | 333 N 18th Ave, Suite A, Pocatello, ID 83201-3358 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy A Flicker | Physical Therapy | 2839 Margo Ln, Pocatello, ID 83201-1961 | |
| Michael D Lance | Psychiatry | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Kenneth A Cogen | Nephrology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Randall J Skeem | Internal Medicine | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Martha Elizabeth Franz | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| John L Shuss | General Surgery | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Ciara C Christensen | Clinical Psychologist | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Robin L Hall | Nurse Practitioner | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Laurence L Martens | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Terry J Buccambuso | Diagnostic Radiology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Find all physicians in zip 83201 | |||
| City | POCATELLO |
| Zip Code | 83201 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | POCATELLO + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on David R Donaldson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.