David L. McFadden,M.D.,S.C.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

036087527 Issued in IL

Legal business name

DAVID L. MCFADDEN,M.D.,S.C.

Practice address

3709 Village Dr
Hazel Crest, IL 60429-2444

Phone

(815) 942-5813

NPI assigned

Jul 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David Larry McFadden, M.D.NPI 1033270533

Title

Nephrologist

Phone

(815) 942-5813

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David L McFadden, M.D.

  • Nephrology Physician
  • Joliet, IL
  • NPI 1033270533
  Medicare reassignment Authorized official
• Morufu Olatunji Alausa, M.D

  • Nephrology Physician
  • Joliet, IL
  • NPI 1730135955
  NPD (past)

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1386808871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 VILLAGE DR",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292444",
            "telephone_number": "815-942-5813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 VILLAGE DR",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292444",
            "telephone_number": "815-942-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L. MCFADDEN,M.D.,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "MCFADDEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LARRY",
        "authorized_official_title_or_position": "NEPHROLOGIST",
        "authorized_official_telephone_number": "18159425813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036087527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "214640",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036087527",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Cope II, M.D.
• Kendra Cornett, LCSW
• Eileen Frances Couture, DO
• Kimberly Coy
• Chandra Curry, MD
• Shirley Jean Davis-Barsh, LCSW
• Edrena Davis
• Mark De Silva, M.D.
• Mary Louise Deans
• Jayne L Dederichs, OTRL

• Nephrology Physician in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.