Dudley Maurice McLinn, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

024094 Issued in MN

Practice address

920 E 28TH Street
Suite 740
Minneapolis, MN 55407-1163

Phone

(612) 870-7711

Fax

(612) 870-1666

NPI assigned

Oct 2, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2005 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Executive Health Care

  • Internal Medicine Physician
  • Minneapolis, MN
  • NPI 1295917995
  NPD (past) Authorized official
• Specialists in Internal Medicine PA

  • Internal Medicine Physician
  • Minneapolis, MN
  • NPI 1285816975
  NPD (past) Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659464451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E 28TH STREET",
            "address_2": "SUITE 740",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071163",
            "telephone_number": "612-870-7711",
            "fax_number": "612-870-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E 28TH STREET",
            "address_2": "SUITE 740",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071163",
            "telephone_number": "612-870-7711",
            "fax_number": "612-870-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLINN",
        "first_name": "DUDLEY",
        "middle_name": "MAURICE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "024094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayla Renee McLean, PT
• Tina McLean, CNP
• Daniel S McLellan, MD
• Lisa Jean McLellan, PA
• Jacqueline McLeod-Werket
• Patricia Jean McLinn, RN
• Dallas Edward McLochlin
• Krista Kay McMahon, CES
• Luke McMahon, DDS
• Mary Kathleen McMahon, RN

• Internal Medicine Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Internal Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.