Individual
THOMAS S. MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 757-2927
(859) 341-0203
Mailing address
PO BOX 932163, CLEVELAND, OH 44193-0008
(609) 439-4316
(302) 440-5532
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
00110005446
VA
363A00000X
Physician Assistant
Primary
PA2990
KY
363A00000X
Physician Assistant
TC192
KY
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
04/21/2016
Last updated
01/19/2026
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