Active NPI
John Angus Maclennan, MD
- Family Medicine Physician
- Prattville, AL
National Provider Identifier
1437213345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 8193
- Practice address
- 370 Selma Hwy
Prattville, AL 36067-1903 - Phone
- (334) 365-7823
- Fax
- (334) 358-3882
- NPI assigned
- Dec 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 8193 | AL | Primary |
Addresses
Primary practice location
370 Selma Hwy
Prattville, AL 36067-1903
Mailing address
PO Box 681903
Prattville, AL 36068
Phone (334) 365-7823
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3876 | Medicaid | AL |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8193 | AL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310947200000",
"number": "1437213345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 681903",
"city": "PRATTVILLE",
"state": "AL",
"postal_code": "36068",
"telephone_number": "334-365-7823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 SELMA HWY",
"city": "PRATTVILLE",
"state": "AL",
"postal_code": "360671903",
"telephone_number": "334-365-7823",
"fax_number": "334-358-3882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACLENNAN",
"first_name": "JOHN",
"middle_name": "ANGUS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-22",
"last_updated": "2011-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "8193",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3876",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Prattville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.