DR. JOHN M MCKINNEY JR. (NPI# 1457330813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457330813 |
Entity Type | Individual |
Full Name | DR. JOHN M MCKINNEY JR. |
Credential | M.D. |
Practice Address |
2055 E South Blvd Ste 603 Montgomery AL 36116-2014 |
Mailing Address |
301 Brown Springs Rd Montgomery AL 36117-7005 |
Practice Telephone | 3347478800 |
Practice Fax Number | 3347478810 |
Mailing Telephone | 3342734159 |
Mailing Fax Number | 3342734556 |
Enumeration Date | 2006-01-13 |
Last Update Date | 2019-09-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
35821 | AL | Allopathic & Osteopathic Physicians |
N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | ME 066933 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | 220320 | 05 | |
AL | MEDICARE | A02250A | 01 |
AL | BCBS OF ALABAMA | 512-12911 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
3191 Harbor Blvd Ste B, Port Charlotte, FL 339526755 | 9417442640 | 9417442650 |
4300 W Main St Ste 21, Dothan, AL 363051058 | 3346997900 | |
4370 W Main St, Dothan, AL 363051056 | 3346997900 | |
833 Princeton Ave Sw Ste 200a, Birmingham, AL 352111321 | 2057862776 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598168536 | John Luc Mckinney | Physical Therapy Assistant | 3794 Dominic Ct, Franklin, OH 45005-9495 | 2014-10-05 |
1295001535 | John Brenden Mckinney | Social Worker | 126 Crestline Ave, Cheyenne, WY 82009-4051 | 2012-03-30 |
1750687067 | John D Mckinney II | Contractor | 2525 La Salle Ave, Waco, TX 76706-3929 | 2011-02-03 |
1316100241 | John Bradley Mckinney | Dentist | 308 6th St S Ste 101, Oneonta, AL 35121-1842 | 2008-07-10 |
1033173398 | John Wade Mckinney | Otolaryngology | 437 Hulsey Rd, Bourbon, MO 65441-8159 | 2006-04-13 |
1225456007 | John A. Mckinney | Social Worker | 600 Arthur St, Knoxville, TN 37921-6405 | 2014-03-31 |
1891006391 | John Stephen Mckinney | Pharmacist | 1959 W Andrew Johnson Hwy, Morristown, TN 37814-3777 | 2010-06-30 |
1992016653 | John Henry Mckinney | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2010-06-28 |
1669523023 | John Alexander Mckinney | Physical Therapist | 250 E Main St, Norton, MA 02766-2436 | 2007-01-14 |
1306996632 | John Mckinney | Optometrist | 1300 Ulster Ave, Kingston, NY 12401-1501 | 2007-01-11 |
Street Address |
2055 E SOUTH BLVD STE 603 |
City | MONTGOMERY |
State | AL |
Zip Code | 36116-2014 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144242413 | Emily Anne Grimm | Physician Assistant | 2055 E South Blvd Ste 603, Montgomery, AL 36116-2014 | 2006-07-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275153892 | Sayyeda Ann Uz Zahra | Student in an Organized Health Care Education/Training Program | 2055 East South Blvd. Suite 202, Uab Montgomery, Montgomery, AL 36116 | 2020-04-23 |
1861958241 | Tameka Lene' Myles | Nurse Practitioner | 2905 East South Boulevard, Montgomery, AL 36116 | 2019-02-11 |
1750869814 | Nina Yvette Massey | Family Medicine | Baptist South Uab Multi Specialty Clinic, 2119 E. South Blvd, Montgomery, AL 36116 | 2018-08-01 |
1336635697 | Briana Lynn Adair | Speech-Language Pathologist | 2185 Normandie Rd., Montgomery, AL 36116 | 2018-07-10 |
1790201770 | Rinka Ravi Pahwani | Student in an Organized Health Care Education/Training Program | 4371 Narrow Lane Road, Suite 100, Montgomery, AL 36116 | 2017-08-21 |
1982052015 | Kevin J Jones | Pharmacist | 4385 Narrow Lane Rd, Montgomery, AL 36116 | 2016-05-31 |
1891153284 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 8035 Vaughn Road, Montgomery, AL 36116 | 2016-02-01 |
1871917583 | E Dental | Dentist | 6956 Vaughn Rd, Montgomery, AL 36116 | 2014-02-17 |
1033545199 | Jennings Professional Services LLC | Home Health | 2921 Martin Lane, Montgomery, AL 36116 | 2013-09-20 |
1750721973 | Joseph Alan Taylor | Counselor | 8104 Seaton Place, Montgomery, AL 36116 | 2013-07-02 |
Find all providers in zip 36116 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093992646 | William N Veale Jr. | Surgery | 1758 Park Pl Ste 300, Montgomery, AL 36106-1137 | 2008-01-25 |
1669007795 | Southern Specialty Physicians LLC | Surgery | 7085 Sydney Curv, Montgomery, AL 36117-3509 | 2020-03-09 |
1588011746 | Jackson Hospital and Clinic Inc. | Surgery | 1801 Pine St, Suite 101, Montgomery, AL 36106-0165 | 2016-05-18 |
1538455613 | Jackson Hospital and Clinic, Inc. | Surgery | 1725 Park Pl, Suite 300-a, Montgomery, AL 36106-1123 | 2011-06-27 |
1578790895 | Justin Alexander Parden | Surgery | 1758 Park Pl Ste 300, Montgomery, AL 36106-1137 | 2009-06-12 |
1245411289 | George E Hipp | Surgery | 2055 E South Blvd, Suite 908, Montgomery, AL 36116-2001 | 2007-11-19 |
1356404362 | Central Alabama Thoracic & Cardiovascular Surgery, P. A. | Surgery | 2055 E South Blvd, Suite 301, Montgomery, AL 36116-2001 | 2006-12-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891296547 | West Alabama Physician Associates LLC | Surgery | 701 University Blvd E Ste 807, Tuscaloosa, AL 35401-7479 | 2018-02-27 |
1518473073 | Best Vein Care of Huntsville, LLC | Surgery | 2010 Southpoint Park Circle #170, Huntsville, AL 35801-5480 | 2017-12-20 |
1962896613 | Dr. J. Donald Carmichael Pa | Surgery | 2857 Canterbury Rd, Mountain Brk, AL 35223-1201 | 2015-03-19 |
1306155460 | Valley Vascular Consultants PC | Surgery | 201 Sivley Rd Sw Ste 530, Huntsville, AL 35801-5163 | 2010-10-06 |
1003136896 | Marshall Medical Center South | Surgery | 133 Wall St, Albertville, AL 35951-9300 | 2010-06-03 |
1215255757 | East Alabama Surgical Associates LLC | Surgery | 2410 Village Professional Pkwy, Opelika, AL 36801 | 2010-05-07 |
1700048998 | Barry L. Fields | Surgery | 4700 Southlake Pkwy, Birmingham, AL 35244-3202 | 2008-06-28 |
1942401690 | L.s. Mcgee,jr., M.d.,p.a. | Surgery | 15 W Midtown Park, Suite C, Mobile, AL 36606-4139 | 2007-05-30 |
1699784538 | Charles Austin Hunt II | Surgery | 4721 Chace Cir, Hoover, AL 35244-3700 | 2006-08-07 |
1144254574 | Lawrence S Mcgee Jr. | Surgery | 15 Midtown Park Drive West, Suite C, Mobile, AL 36606-4139 | 2006-07-10 |
Find all providers with the same taxonomy |
City | MONTGOMERY |
Zip Code | 36116 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.