Active NPI
Neil G McMahon, MD
- Surgery Physician
- Waterloo, IA
National Provider Identifier
1124055926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 29818
- Practice address
- 2710 Saint Francis Dr
Suite 410
Waterloo, IA 50702-5619 - Phone
- (319) 272-5000
- Fax
- (319) 272-5264
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 29818 | IA | Primary |
Addresses
Primary practice location
2710 Saint Francis Dr
Suite 410
Waterloo, IA 50702-5619
Mailing address
2101 Kimball Ave
LL14
Waterloo, IA 50702-5063
Phone (319) 272-1590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2108290 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Ohio State University College of Medicine, 1985
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3421 W 9TH St
Waterloo, IA 50702-5401
Hospital & facility affiliations
- Mercyone Waterloo Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29818 | IA | MD | Surgery Physician |
Interoperability endpoints
- nmcmahon3934427@direct.trinity-health.org
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waterloo, IA
- NPI 1700827896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1124055926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 KIMBALL AVE",
"address_2": "LL14",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507025063",
"telephone_number": "319-272-1590",
"fax_number": "319-272-1535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 SAINT FRANCIS DR",
"address_2": "SUITE 410",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507025619",
"telephone_number": "319-272-5000",
"fax_number": "319-272-5264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHON",
"first_name": "NEIL",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IA",
"license": "29818",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2108290",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.