NPIMap

Individual provider Active NPI

Thomas Dean McKinley, M.D.

  • Internal Medicine Physician
  • Mount Vernon, OH
National Provider Identifier
1639250830
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35069886 Issued in OH
Practice address
1451 Yauger Rd
Ste 1F
Mount Vernon, OH 43050-8097
Phone
(740) 397-8500
Fax
(740) 397-8527
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35069886 OH Primary

Addresses

Primary practice location

1451 Yauger Rd
Ste 1F
Mount Vernon, OH 43050-8097

Mailing address

1330 Coshocton Ave
Mount Vernon, OH 43050-1440
Phone (740) 397-8500

Other identifiers 1

IdentifierTypeStateIssuer
0351828MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041123000022 OH Practitioner - Family Practice 8325948029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Cincinnati College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Knox Community Hospital 117 clinicians

Practice addresses (Care Compare)

1330 Coshocton Ave
Mount Vernon, OH 43050-1440

1451 Yauger Rd
Suite 1C
Mount Vernon, OH 43050-7904
Phone (740) 393-4325

307 Vernedale Dr
Mount Vernon, OH 43050-2921

Hospital & facility affiliations

  • Centerwell Home Health II Home health agency, Mount Vernon, OH, CCN 368015
  • Star Home Health Agency Home health agency, Mount Vernon, OH, CCN 369292
  • Cambridge Home Health Care, Inc Home health agency, Ontario, OH, CCN 368155
  • Gentiva Hospice, Mount Vernon, OH, CCN 361635
  • Knox Community Hospital Hospital, Mount Vernon, OH, CCN 360040
  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
  • James Cancer Hospital & Solove Research Institute Hospital, Columbus, OH, CCN 360242

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35069886OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Knox Community Hospital Current Accepting new patients
Knox Community Hospital CurrentSince Jun 1, 1998 Accepting new patients
Knox Community Hospital Current Accepting new patients
Knox Community Hospital CurrentSince Jun 1, 1998 Accepting new patients
Knox Community Hospital Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Central Ohio Primary Care Physicians, Inc. Internal Medicine Past Accepting new patients
Central Ohio Primary Care Physicians, Inc. Past Accepting new patients

Locations

1451 Yauger Rd
Ste 1F
Mount Vernon, OH 43050
Phone (740) 397-8500

1330 Coshocton Ave
Fl 5
Mount Vernon, OH 43050
Phone (740) 393-9040

1330 Coshocton Ave
Ste 1A
Mount Vernon, OH 43050

1330 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 393-9019

Interoperability endpoints

  • Direct secure messaging: thomasmckinley@kch.allscriptsdirect.net

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1639250830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 COSHOCTON AVE",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501440",
            "telephone_number": "740-397-8500",
            "fax_number": "740-397-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 YAUGER RD",
            "address_2": "STE 1F",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430508097",
            "telephone_number": "740-397-8500",
            "fax_number": "740-397-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINLEY",
        "first_name": "THOMAS",
        "middle_name": "DEAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35069886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0351828",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

Verify at the official NPI Registry.