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NPI Code Detail

MEDICARE: THOMAS S. MCDONALD PA-C

MEDICARE: THOMAS S. MCDONALD PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA2990KY
2363A00000XPhysician Assistant00110005446VA
3363A00000XPhysician AssistantTC192KY
4363AM0700XMedical Physician Assistant

General Provider Information

NPI Number : 1215381751
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS S. MCDONALD PA-C
Provider Business Mailing Address
First Line : PO BOX 932163
Second Line :
City : CLEVELAND
State : OH
Zip : 44193-0008
Country : US
Telephone Number : 609-439-4316
Fax Number : 302-440-5532
Provider Business Practice Location Address
First Line : 1 MEDICAL VILLAGE DR
Second Line :
City : EDGEWOOD
State : KY
Zip : 41017-3403
Country : US
Telephone Number : 859-757-2927
Fax Number : 859-341-0203
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2016
Last Update Date : 01/19/2026

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Directions to “ THOMAS S. MCDONALD PA-C” Practice Location

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