Provider Demographics
NPI:1396414413
Name:MCDONALD, TREMAINE RAEL (HIT, CCA)
Entity Type:Individual
Prefix:
First Name:TREMAINE
Middle Name:RAEL
Last Name:MCDONALD
Suffix:
Gender:M
Credentials:HIT, CCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 PLEASANT DR
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27909-5186
Mailing Address - Country:US
Mailing Address - Phone:757-447-4517
Mailing Address - Fax:757-299-6043
Practice Address - Street 1:1209 NANSEMOND PKWY UNIT B
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-2206
Practice Address - Country:US
Practice Address - Phone:757-447-4517
Practice Address - Fax:757-299-6043
Is Sole Proprietor?:No
Enumeration Date:2021-09-11
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA220595246YC3302X
VA246Y00000X
171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider
No246YC3302XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationCoding Specialist, Physician Office Based
No246Y00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health Information