Provider Demographics
NPI:1639179476
Name:MCDONALD, PATRICIA A (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:A
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 1:300 KENSINGTON AVE
Mailing Address - Street 2:GROVE HILL MEDICAL CENTER
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051-3916
Mailing Address - Country:US
Mailing Address - Phone:860-826-4460
Mailing Address - Fax:860-826-4436
Practice Address - Street 1:1 LAKE ST
Practice Address - Street 2:GROVE HILL MEDICAL CENTER
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06052-1396
Practice Address - Country:US
Practice Address - Phone:860-826-4460
Practice Address - Fax:860-826-4436
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT024751207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1255448155OtherGHMC GROUP NPI ID
CT481607OtherAETNA
CT138005OtherWELLCARE MEDICARE
CT01024751OtherCIGNA
CT7939301OtherCONNECTICARE
CT010024751CT02OtherBCBS & BCFP ID
CT060065OtherHEALTH NET
CT180024412OtherRAIL ROAD MEDICARE ID
CTP369883OtherOXFORD
CT004214433Medicaid
CT001247519Medicare ID - Type Unspecified
CT004214433Medicaid
CTC01373Medicare ID - Type UnspecifiedGHMC GROUP MEDICARE ID
A64589Medicare UPIN