Active NPI
Michael McNally, DPM
- Podiatrist
- Brunswick, ME
National Provider Identifier
1285793711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- POD164
- Practice address
- 85 Baribeau Dr
Brunswick, ME 04011-3249 - Phone
- (207) 729-6686
- Fax
- (207) 729-6687
- NPI assigned
- Dec 8, 2006
- Last updated
- May 9, 2008
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | POD164 | ME | Primary |
Addresses
Primary practice location
85 Baribeau Dr
Brunswick, ME 04011-3249
Mailing address
85 Baribeau Dr
Brunswick, ME 04011-3249
Phone (207) 729-6686
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133310099 | Medicaid | ME | |
| 039324 | Other | ME | ANTHEM |
| M1310 | Other | ME | CIGNA |
| 2492941 | Other | ME | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| POD164 | ME | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brunswick Foot & Ankle Center, LLC | Podiatrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Podiatrist
- Brunswick, ME
- NPI 1962561480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210291200000",
"number": "1285793711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 BARIBEAU DR",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040113249",
"telephone_number": "207-729-6686",
"fax_number": "207-729-6687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 BARIBEAU DR",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040113249",
"telephone_number": "207-729-6686",
"fax_number": "207-729-6687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNALLY",
"first_name": "MICHAEL",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2008-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "ME",
"license": "POD164",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133310099",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "039324",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "M1310",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2492941",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.