John M McKinney Jr PA

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

ME66933 Issued in FL

Legal business name

JOHN M MCKINNEY JR PA

Practice address

3417 Tamiami TRL
Suite G
Port Charlotte, FL 33952-8158

Phone

(941) 235-7246

Fax

(941) 235-2222

NPI assigned

Feb 9, 2017

Last updated

Feb 9, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John M McKinney, MD

Title

President

Phone

(321) 698-0258

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1144768276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 TAMIAMI TRL",
            "address_2": "SUITE G",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528158",
            "telephone_number": "941-235-7246",
            "fax_number": "941-235-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 TAMIAMI TRL",
            "address_2": "SUITE G",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528158",
            "telephone_number": "941-235-7246",
            "fax_number": "941-235-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M MCKINNEY JR PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-698-0258",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME66933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.