Active NPI
David M McFadden, MD
- Surgery Physician
- Poplar Bluff, MO
National Provider Identifier
1740245737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- R5E69
- Practice address
- 621 W Pine St
Poplar Bluff, MO 63901-5042 - Phone
- (573) 686-8199
- Fax
- (573) 686-8398
- NPI assigned
- Apr 20, 2006
- Last updated
- Jan 8, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | R5E69 | MO | Primary |
Addresses
Primary practice location
621 W Pine St
Poplar Bluff, MO 63901-5042
Mailing address
PO Box 405461
Atlanta, GA 30384-5461
Phone (573) 686-8199
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138741 | Other | MO | HEALTHLINK |
| P00206187 | Other | MO | RAILROAD MEDICARE |
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 |
|---|---|---|---|
| R5E69 | MO | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tinsley Home Medical Services, LLC | Past | Accepting new patients | |
| Dexter Emergency Physicians, LLC | Past | Accepting new patients | |
| Poplar Bluff Hma Physician Management, LLC | Surgery | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Dexter, MO
- NPI 1154365070
-
- Family Medicine Physician
- Poplar Bluff, MO
- NPI 1598710147
Surgery
-
- Family Medicine Physician
- Poplar Bluff, MO
- NPI 1003406539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389139200000",
"number": "1740245737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 405461",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303845461",
"telephone_number": "573-686-8199",
"fax_number": "573-686-8398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 W PINE ST",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639015042",
"telephone_number": "573-686-8199",
"fax_number": "573-686-8398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCFADDEN",
"first_name": "DAVID",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2014-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "R5E69",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "138741",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00206187",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.