Basic Information
| Provider Information | |||||||||
| NPI: | 1083034318 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MACDONALD | ||||||||
| FirstName: | ASHLEE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1115 BOULDERS PARKWAY | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | NORTH CHESTERFIELD | ||||||||
| State: | VA | ||||||||
| PostalCode: | 23225 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8042153063 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8200 MEADOWBRIDGE ROAD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | MECHANICSVILLE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 23116 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8047302121 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/25/2014 | ||||||||
| LastUpdateDate: | 08/13/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/13/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | D0089116 | MD | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207X00000X | 0101272607 | VA | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.