Active NPI
Nancy E McKinley, MD
- Orthopaedic Surgery Physician
- Fairmont, WV
National Provider Identifier
1497794416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 16429
- Practice address
- 1400 Goose Run Rd
Fairmont, WV 26554-1351 - Phone
- (304) 367-8901
- Fax
- (304) 368-1518
- NPI assigned
- Jun 5, 2006
- Last updated
- Aug 5, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 16429 | WV | Primary |
| 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
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 |
|---|---|---|---|
| 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
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Summersville, WV
- NPI 1750378345
-
- Orthopaedic Surgery Physician
- Indianapolis, IN
- NPI 1841241437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375660800000",
"number": "1497794416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 991",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265550991",
"telephone_number": "304-367-8901",
"fax_number": "304-368-1518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 GOOSE RUN RD",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265541351",
"telephone_number": "304-367-8901",
"fax_number": "304-368-1518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINLEY",
"first_name": "NANCY",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-05",
"last_updated": "2013-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WV",
"license": "16429",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WI",
"license": "28557",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "01052528A",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MN",
"license": "43326",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.