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:
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Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972609949 NPPES
Washington MEDICAID 8424384
Washington MEDICAID 1015751

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