David A. McMenamin, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

27417 Issued in KY

Practice address

138 Professional Ave
Winchester, KY 40391-1116

Phone

(859) 744-7420

Fax

(859) 745-8659

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clark Regional Physician Practices LLC

  • Rural Health Clinic/Center
  • Mt Sterling, KY
  • NPI 1780356253
  Medicare reassignment NPD
• Kentucky Hospital, LLC

  • Rural Health Clinic/Center
  • Stanton, KY
  • NPI 1770809808
  Medicare reassignment NPD
• Clark Regional Physician Practices, LLC

  • Durable Medical Equipment & Medical Supplies
  • Winchester, KY
  • NPI 1114282605

  Gastroenterology

  NPD
• Kentucky Hospital LLC

  • Family Medicine Physician
  • Winchester, KY
  • NPI 1831418060
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1073568028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 PROFESSIONAL AVE",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911116",
            "telephone_number": "859-744-7420",
            "fax_number": "859-745-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 PROFESSIONAL AVE",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911116",
            "telephone_number": "859-744-7420",
            "fax_number": "859-745-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMENAMIN",
        "first_name": "DAVID",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": "27417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64274178",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah K McCord, CSW
• Tammy P McCord, DMD
• James Caleb McCoy, PT, DPT
• Rex Powell McCrary, DMD
• Jessica Thomas McMaine, APRN
• Pamela McMichael, SLP
• Christy McQuade, RPH
• Means Adult Primary Care Clinic of Kentucky PLLC
• Medibear Carehub
• Medical Advantage Carehub

• Gastroenterology Physician in Winchester, KY
• Providers in Winchester, KY by specialty
• Gastroenterology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.