Provider Demographics
NPI:1649291386
Name:MCAFEE, R DONALD (MD)
Entity type:Individual
Prefix:
First Name:R
Middle Name:DONALD
Last Name:MCAFEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 E MERCER ST
Mailing Address - Street 2:
Mailing Address - City:HARRISVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16038-1927
Mailing Address - Country:US
Mailing Address - Phone:724-735-4241
Mailing Address - Fax:724-735-4240
Practice Address - Street 1:321 E MERCER ST
Practice Address - Street 2:
Practice Address - City:HARRISVILLE
Practice Address - State:PA
Practice Address - Zip Code:16038-1927
Practice Address - Country:US
Practice Address - Phone:724-735-4241
Practice Address - Fax:724-735-4240
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD019929E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D33414Medicare UPIN
PA88833Medicare ID - Type Unspecified