John J McInnis, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

72180 Issued in MA

Practice address

54 Baker Avenue Ext
Suite 200
Concord, MA 01742-2137

Phone

(978) 369-5391

NPI assigned

Feb 28, 2006

Last updated

Jun 27, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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 MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• North Bridge Podiatry Group, P.C.

  • Primary Podiatric Medicine Podiatrist
  • Concord, MA
  • NPI 1609831023
  NPD (past)

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1083680078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 BAKER AVENUE EXT",
            "address_2": "SUITE 200",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422137",
            "telephone_number": "978-369-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 BAKER AVENUE EXT",
            "address_2": "SUITE 200",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422137",
            "telephone_number": "978-369-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINNIS",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "72180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200022706",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eileen Gabrielle McGonagle, RN
• Maureen Frances McGough
• John Joseph McGrath III, MD
• Colleen Ellen McGuiness, OTR
• Ryee McHugh
• Kathleen McInnis
• John L. McKenna, PHD
• Katherine Mary McKenna
• Margaret Sanderson McKenna, M.D.
• Pamela McKenna, LMHC

• Orthopaedic Surgery Physician in Concord, MA
• Providers in Concord, MA by specialty
• Orthopaedic Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.