Nancy E McKinley, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Fairmont, WV
NPI 1497794416 · NPPES record last updated Aug 5, 2013
Key facts
- NPI
- 1497794416
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 16429 (WV)
- Practice address
- 1400 Goose Run Rd
Fairmont, WV 26554-1351 - Phone
- (304) 367-8901
- Fax
- (304) 368-1518
- NPI assigned
- Jun 5, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01052528A | IN | MD | Orthopaedic Surgery Physician |
| 28557 | WI | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summersville Out Patient Center | Current |
Accepting new patients | |
| University Orthopaedic Associates, Inc. | Orthopaedic Surgery | Past | Accepting new patients |
Locations
74 Avenue B
Richwood, WV 26261
Phone (304) 846-4980
400 Fairview Heights Rd
Summersville, WV 26651
Phone (304) 872-2891
400 Fairview Heights Rd
#204
Summersville, WV 26651
Phone (304) 872-8536
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 16429 | WV | Yes |
| Orthopaedic Surgery Physician | 207X00000X | 28557 | WI | |
| Orthopaedic Surgery Physician | 207X00000X | 01052528A | IN | |
| Orthopaedic Surgery Physician | 207X00000X | 43326 | MN |
Addresses
Primary practice location
1400 Goose Run Rd
Fairmont, WV 26554-1351
Mailing address
PO Box 991
Fairmont, WV 26555-0991
Phone (304) 367-8901
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0097478000 | Medicaid | WV |
Other providers in Fairmont, WV
- Sarah Elizabeth McGlone
- Cynthia McIlwain
- Merica McIntire
- Tiffany McIntyre
- Brianna Nicole McKenzie
- Kristy Ann McKisic
- David Montgomery McLellan
- Hallie Ann McLeod
- Ava McMullen
- Mark A McNeill
All providers in Fairmont, WV · Orthopaedic Surgery Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.