DR. JOHN M MCKINNEY M.D. NPI 1457330813

NPI Information

NPI: 1457330813
Provider Name: DR. JOHN M MCKINNEY, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
2055 E SOUTH BLVD STE 603
MONTGOMERY, AL
ZIP 36116
Phone: (334) 747-8800
Get Directions

DR. John M Mckinney, M.D. is a vascular surgery surgery in Montgomery, AL with 37 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. John M Mckinney, M.D. NPI is 1457330813. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1987

The provider's business location address is:

2055 E SOUTH BLVD STE 603
MONTGOMERY, AL
ZIP 36116-014
Phone: (334) 747-8800
Fax: (334) 747-8810

The NPI 1457330813 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/13/2006 and was last updated on 7/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)		ME 066933	FLORIDA	No
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)		T7818	TEXAS	No
3	2086S0129X	Surgery	Vascular Surgery	35821	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	220320	MEDICAID	ALABAMA
2	A02250A	OTHER	ALABAMA	MEDICARE
3	512-12911	OTHER	ALABAMA	BCBS OF ALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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