Individual provider Active NPI

Thomas D McKinnon, M.D.

  • Ophthalmology Physician
  • Birmingham, AL
National Provider Identifier
1477555001
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
00003827 Issued in AL
Practice address
1009 Montgomery Hwy
Suite 200
Birmingham, AL 35216-2805
Phone
(205) 397-9400
Fax
(205) 397-9455
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 00003827 AL Primary

Addresses

Primary practice location

1009 Montgomery Hwy
Suite 200
Birmingham, AL 35216-2805

Mailing address

1009 Montgomery Hwy
Suite 200
Birmingham, AL 35216-2805
Phone (205) 397-9400

Other identifiers 1

IdentifierTypeStateIssuer
000004239MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100316000818 AL Practitioner - Ophthalmology 8426096769 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00003827ALMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Feagin, Gee and Dahl, P.C. Ophthalmology CurrentSince Jun 23, 1997 Accepting new patients

Locations

1009 Montgomery Hwy
Ste 200
Vestavia Hills, AL 35216
Phone (205) 397-9400

1009 Montgomery Hwy
Ste 20
Vestavia Hills, AL 35216

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1477555001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 MONTGOMERY HWY",
            "address_2": "SUITE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352162805",
            "telephone_number": "205-397-9400",
            "fax_number": "205-397-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 MONTGOMERY HWY",
            "address_2": "SUITE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352162805",
            "telephone_number": "205-397-9400",
            "fax_number": "205-397-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNON",
        "first_name": "THOMAS",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "00003827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000004239",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.