John W McDonough II, DO

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

19291 Issued in WI

Practice address

410 Dewey St
Wisconsin Rapids, WI 54495-8075

Phone

(715) 421-5257

NPI assigned

Aug 26, 2005

Last updated

Apr 12, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McDonough Orthopaedic and Sports Medicine Center SC

  • Durable Medical Equipment & Medical Supplies
  • Wisconsin Rapids, WI
  • NPI 1073506838
  NPD (past)

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334188800000",
    "number": "1700879525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-387-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 DEWEY ST",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544958075",
            "telephone_number": "715-421-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2012-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "19291",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "WI",
            "license": "19291",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30035800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karla Renee McDonald, DDS
• McDonough Orthopaedic and Sports Medicine Center SC
• McDonough Orthopaedic and Sports Medicine Center SC
• McDonough Orthopaedic and Sports Medicine Center SC
• McDonough Orthopaedic and Sports Medicine Center SC
• Tiffany Rae McFarland
• Timothy Patrick McFarland, RN
• Robert E McGrath, DDS
• MCHS Hospitals Inc (INACTIVE Marshfield Medical Center - River Region WI Rapids Professional Services)
• MCHS Hospitals Inc (Marshfield Clinic Wisconsin Rapids Center (DME))

• Orthopaedic Surgery Physician in Wisconsin Rapids, WI
• Providers in Wisconsin Rapids, WI by specialty
• Orthopaedic Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.