Mcdonagh, Jonathan Richard
Mcdonagh, Jonathan Richard is an individual health care provider with primary practice located at 3841 Piper St Suite T-100, Anchorage AK 99508-4624. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Mcdonagh, Jonathan Richard can be contacted via phone (907) 561-3211.Contact Information
Primary practice address
3841 Piper St Suite T-100
Anchorage AK 99508-4624
Phone: (907) 561-3211
Fax: (907) 771-6870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301097900 | Michigan |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 5821 | Alaska |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 5821 | Alaska |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 5821 | Alaska |
Profile Details
| NPI number | 1972609949 |
|---|---|
| LBN Legal business name | Mcdonagh, Jonathan Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2006 |
| Last updated | May 3rd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972609949 | NPPES |
| Washington | MEDICAID | 8424384 | |
| Washington | MEDICAID | 1015751 |
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