MARK JEFFREY MCDONALD A.T.C.
NPI 1114075892
Specialist/Technologist - Athletic Trainer in Southgate, MI

NPI Status: Active since January 08, 2007

Contact Information

15777 NORTHLINE RD
SUITE 102
SOUTHGATE, MI
ZIP 48195
Phone: (734) 246-8125
Fax: (734) 246-8113

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  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About MARK MCDONALD

This page provides the complete NPI Profile along with additional information for Mark Mcdonald, a provider established in Southgate, Michigan with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1114075892 assigned on January 2007. The practitioner's primary taxonomy code is 2255A2300X. The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1114075892
Provider Name
MARK JEFFREY MCDONALD A.T.C.
Gender
Male
Entity Type
Individual
Location Address
15777 NORTHLINE RD SUITE 102 SOUTHGATE, MI 48195
Location Phone
(734) 246-8125
Location Fax
(734) 246-8113
Mailing Address
15777 NORTHLINE RD SUITE 102 SOUTHGATE, MI 48195
Mailing Phone
(734) 246-8125
Mailing Fax
(734) 246-8113
Is Sole Proprietor?
Yes
Enumeration Date
01-08-2007
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist Athletic Trainer

Taxonomy Code
2255A2300X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114075892
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21240710818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 0 + 7 + 1 + 0 + 8 + 1 + 8 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1114075892 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

DR. FARAH IFTIKHAR MD

Family Medicine

15777 NORTHLINE RD
SOUTHGATE, MI
ZIP 48195

(734) 324-7800

DARKO HABEKOVIC MD

Obstetrics & Gynecology

15777 NORTHLINE RD
SOUTHGATE, MI
ZIP 48195

(734) 246-8645

CHAMPA NAGAPPA MD

Pediatrics

15777 NORTHLINE RD
SOUTHGATE, MI
ZIP 48195

(734) 246-8100

HIRUT DAGNEW MD

Pediatrics

15777 NORTHLINE RD
SOUTHGATE, MI
ZIP 48195

(734) 246-8100

JOAN LESS MD

Pediatrics

15777 NORTHLINE RD
SOUTHGATE, MI
ZIP 48195

(734) 246-8100

MS. LISA MARIE HENDRIXON ATC, CSCS

Specialist/Technologist

(Athletic Trainer)

15777 NORTHLINE RD
SOUTHGATE, MI
ZIP 48195

(734) 246-8125

MR. WILLIAM PUGH ATC

Specialist/Technologist

(Athletic Trainer)

15777 NORTHLINE RD
SOUTHGATE, MI
ZIP 48195

(734) 246-8125

MR. JEFFREY A KLINE ATC

Specialist/Technologist

(Athletic Trainer)

15777 NORTHLINE RD
SPORTS MEDICINE
SOUTHGATE, MI
ZIP 48195

(734) 324-9593

JENNIFER BESWICK NP

Nurse Practitioner

(Pediatrics)

15777 NORTHLINE RD
SOUTHGATE, MI
ZIP 48195

(734) 246-8100

ARUN MEHTA MD

Family Medicine

15777 NORTHLINE RD
SOUTHGATE, MI
ZIP 48195

(734) 246-8100

BOHDAN ZENON DANYSH MD

Obstetrics & Gynecology

15777 NORTHLINE RD
STE 201
SOUTHGATE, MI
ZIP 48195

(734) 246-8100

PIOTR MARIUSZ ORAWIEC PT

Physical Therapist

15777 NORTHLINE RD
SOUTHGATE, MI
ZIP 48195

(734) 246-8125

CHRISTINE CLIMIE MD

Family Medicine

15777 NORTHLINE RD
SOUTHGATE, MI
ZIP 48195

(734) 246-8100

WAFA ODEH MD

Internal Medicine

15777 NORTHLINE RD
SOUTHGATE, MI
ZIP 48195

(734) 246-8100

SHEILA SUNGURLU M.D.

Internal Medicine

15777 NORTHLINE RD
SOUTHGATE, MI
ZIP 48195

(734) 246-8100

ARUNMON JACOB PT

Physical Therapist

15777 NORTHLINE RD
SOUTHGATE, MI
ZIP 48195

(734) 246-8125

DIANE PEARL NP

Nurse Practitioner

(Family)

15777 NORTHLINE RD
SOUTHGATE, MI
ZIP 48195

(313) 586-5641

DR. CHRISTINA LOUISE BENKERT D.O. MPH

Family Medicine

15777 NORTHLINE RD
SOUTHGATE, MI
ZIP 48195

(734) 246-8100

OAKWOOD AMBULATORY, LLC

Nurse Practitioner

15777 NORTHLINE RD
SOUTHGATE, MI
ZIP 48195

(734) 248-8100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114075892, enumerated as an "individual" on January 08, 2007.

The provider is located at 15777 NORTHLINE RD SUITE 102 SOUTHGATE, MI 48195 and the phone number is (734) 246-8125.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.