Active NPI
L. Neal McCain, M.D, LTD.
- Surgery Physician
- Carbondale, IL
National Provider Identifier
1083946362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036054813
- Legal business name
- L. NEAL MCCAIN, M.D, LTD.
- Practice address
- 305 W Jackson St
Suite 302
Carbondale, IL 62901-1474 - Phone
- (618) 529-1770
- Fax
- (618) 529-1777
- NPI assigned
- Feb 11, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- L Neal McCain, M.D.
- Title
- President
- Phone
- (618) 529-1770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036054813 | IL | Primary |
Addresses
Primary practice location
305 W Jackson St
Suite 302
Carbondale, IL 62901-1474
Mailing address
PO Box 1507
Carbondale, IL 62903-1507
Phone (618) 529-1770
National Provider Directory
National Provider DirectoryLocations
19 E Shawnee Dr
Murphysboro, IL 62966
Phone (618) 684-2172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265846400000",
"number": "1083946362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1507",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629031507",
"telephone_number": "618-529-1770",
"fax_number": "618-529-1777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 W JACKSON ST",
"address_2": "SUITE 302",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629011474",
"telephone_number": "618-529-1770",
"fax_number": "618-529-1777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "L. NEAL MCCAIN, M.D, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-11",
"last_updated": "2010-02-11",
"status": "A",
"authorized_official_last_name": "MCCAIN",
"authorized_official_first_name": "L",
"authorized_official_middle_name": "NEAL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "618-529-1770",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "IL",
"license": "036054813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.