Provider Demographics
NPI:1134178619
Name:MCDONALD, ANN M (MD)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:M
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3939 W RIDGE RD
Mailing Address - Street 2:WEST RIDGE COMMONS STE. B-25A
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16506-1879
Mailing Address - Country:US
Mailing Address - Phone:814-836-9996
Mailing Address - Fax:814-836-9998
Practice Address - Street 1:3939 W RIDGE RD
Practice Address - Street 2:WEST RIDGE COMMONS STE. B-25A
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506-1879
Practice Address - Country:US
Practice Address - Phone:814-836-9996
Practice Address - Fax:814-836-9998
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-027069-E2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
180280OtherVALUEOPTIONS
PA465298OtherHIGHMARK BLUE CROSS
PA0001035010Medicaid
PA165298Medicare ID - Type Unspecified
PAD71646Medicare UPIN