Organization Active NPI

Michael McKinney, M.D. PA

  • Gastroenterology Physician
  • Cottonwood, AZ
National Provider Identifier
1447465117
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
24574 Issued in AZ
Legal business name
MICHAEL MCKINNEY, M.D. PA
Practice address
203 S Candy LN Ste 2a
Cottonwood, AZ 86326-4172
Phone
(928) 634-5700
Fax
(928) 634-8115
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Authorized official

Name
Laurel A Morris, CPC
Title
Office Manager
Phone
(928) 634-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 24574 AZ Primary

Addresses

Primary practice location

203 S Candy LN Ste 2a
Cottonwood, AZ 86326-4172

Mailing address

203 S Candy LN Ste 2a
Cottonwood, AZ 86326-4172
Phone (928) 634-5700

Other identifiers 1

IdentifierTypeStateIssuer
403965OtherAZAHCCCS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1447465117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S CANDY LN STE 2A",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264172",
            "telephone_number": "928-634-5700",
            "fax_number": "928-634-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S CANDY LN STE 2A",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264172",
            "telephone_number": "928-634-5700",
            "fax_number": "928-634-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MCKINNEY, M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "928-634-5700",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "24574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "403965",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.