Douglas F McMahon, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

55710 Issued in MN

Practice address

1655 Beam Ave
Suite 108
Maplewood, MN 55109-1163

Phone

(612) 444-3247

Fax

(612) 888-9247

NPI assigned

Aug 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN, WI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Allergy/Immunology

Education

Georgetown University School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baldwin Area Medical Center IncGroup PAC ID 7911800586, 88 clinicians

Allergy and Asthma Center of Minnesota PLLCGroup PAC ID 1456575695, 5 clinicians

Ladd Memorial HospitalGroup PAC ID 9931092848, 69 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ladd Memorial Hospital Hospital, Osceola, WI, CCN 521318

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dmcmahon583404@excellian.direct.allina.com
• Direct secure messaging: dmcmahon702583@direct.ochin.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Allergy and Asthma Center of Minnesota PLLC

  • Allergy & Immunology Physician
  • Maplewood, MN
  • NPI 1770900797
  Medicare reassignment Care Compare group NPD Authorized official
• Baldwin Area Medical Center, Inc.

  • Critical Access Hospital
  • Baldwin, WI
  • NPI 1467496133
  Medicare reassignment Care Compare group NPD
• Ladd Memorial Hospital

  • Critical Access Hospital
  • Osceola, WI
  • NPI 1467560227
  Medicare reassignment Care Compare group NPD
• Baldwin Area Medical Center Inc.

  • Clinic/Center
  • Spring Valley, WI
  • NPI 1164272324
  NPD
• Baldwin Area Medical Center, Inc.

  • Rural Health Clinic/Center
  • Baldwin, WI
  • NPI 1336228865
  NPD
• Ladd Memorial Hospital

  • Rural Health Clinic/Center
  • Osceola, WI
  • NPI 1801394549
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ladd Memorial Hospital

  • Critical Access Hospital
  • Osceola, WI
  • NPI 1467560227
  Care Compare affiliation

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1356533293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 BEAM AVE",
            "address_2": "SUITE 108",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091163",
            "telephone_number": "612-444-3247",
            "fax_number": "612-888-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 BEAM AVE",
            "address_2": "SUITE 108",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091163",
            "telephone_number": "612-444-3247",
            "fax_number": "612-888-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "DOUGLAS",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MN",
            "license": "55710",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "55710",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel McIntosh, PA-C
• Morgan McKinley
• Janet Elise McLeod, RN
• Brenna McMahon
• Dennis M McMahon, DDS
• Amanda Kay McNaughton, OTRL
• Nora Lynn McPherson, RN, CNS-BC
• Carol Elaine Mecklenburg, PHD LP
• Kimberly A Meegan
• Brian Martin Meger, PHARMD, RPH

• Allergy & Immunology Physician in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Allergy & Immunology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.

Verify at the official NPI Registry.