Organization Active NPI

L. Neal McCain, M.D, LTD.

  • Surgery Physician
  • Carbondale, IL
National Provider Identifier
1083946362
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036054813 Issued in IL
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

Updated by the provider on Feb 11, 2010

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.