Menard, Plastic Surgery LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

14811 Issued in AL

Legal business name

MENARD, PLASTIC SURGERY LLC

Practice address

401 Towncenter Blvd
Suite B
Tuscaloosa, AL 35406-1822

Phone

(205) 391-9038

Fax

(205) 391-4688

NPI assigned

May 17, 2007

Last updated

Nov 6, 2015By 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

Dr. John William Menard, M.D.NPI 1831167303

Title

Owner

Phone

(205) 391-9038

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John William Menard, M.D.

  • Plastic Surgery Physician
  • Tuscaloosa, AL
  • NPI 1831167303
  Medicare reassignment Care Compare group NPD Authorized official
• Leah Alexis Dogan, PA

  • Physician Assistant
  • Tuscaloosa, AL
  • NPI 1639740475
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1306053327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 TOWNCENTER BLVD",
            "address_2": "SUITE B",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354061822",
            "telephone_number": "205-391-9038",
            "fax_number": "205-391-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 TOWNCENTER BLVD",
            "address_2": "SUITE B",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354061822",
            "telephone_number": "205-391-9038",
            "fax_number": "205-391-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENARD, PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "MENARD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-391-9038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AL",
            "license": "14811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101002",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry A. Meharry, M.S., P.T.
• Mansoor Mehmood, M.D.
• Hillary Jordan Melton, RN
• Grayson William Menard, M.D.
• John William Menard, M.D.
• Amanda McKelvey Mennen, M.S. CCC-SLP
• Mental Health BD of Bibb Pickens and Tuscaloosa Counties (Indian Rivers MHC)
• Mental Health BD of Bibb Pickens and Tuscaloosa Counties (Indian Rivers Mental Health Center)
• Mental Health Board of Bibb Pickens & Tuscaloosa Counties, Inc.
• Mental Health Board of Bibb Pickens and Tuscaloosa Counties (Indian Rivers CMHC)

• Plastic Surgery Physician in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Plastic Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.