Sean P McDonald, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

36051 Issued in KY

Practice address

2725 James Sanders Blvd
Ste a
Paducah, KY 42001-8405

Phone

(270) 554-5114

Fax

(270) 215-4834

NPI assigned

Oct 25, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Neurosurgical Associates of Western Kentucky, PSC

  dba Physicians MRI

  • Nurse Practitioner
  • Paducah, KY
  • NPI 1639374465

  Neurological Surgery

  NPD (past)

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1548250129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 JAMES SANDERS BLVD",
            "address_2": "SUITE A",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420018401",
            "telephone_number": "270-554-5114",
            "fax_number": "270-554-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 JAMES SANDERS BLVD",
            "address_2": "STE A",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420018405",
            "telephone_number": "270-554-5114",
            "fax_number": "270-215-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "SEAN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "KY",
            "license": "36051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64024797",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McCullough Medical PLLC
• Steven J McCullough, DO
• Morgan E McCully, OT
• Erin McDaniel
• Timothy J McDermott, MD
• Megan Danielle McDowell, APRN
• Bradley B McElroy, M.D.
• Scott Thomas McElroy, MD
• Kendra Shea McFarland
• Terra L McGahan

• Neurological Surgery Physician in Paducah, KY
• Providers in Paducah, KY by specialty
• Neurological Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.