McKinney Prosthetics LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MCKINNEY PROSTHETICS LLC

Practice address

10504 W Bluemound Rd
Wauwatosa, WI 53226-4332

Phone

(414) 614-3625

Fax

(847) 855-0090

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Donald Ray McKinney, C.P.O.

Title

President

Phone

(847) 855-0030

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1770789299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6475 WASHINGTON ST",
            "address_2": "SUITE 100",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600314404",
            "telephone_number": "847-855-0030",
            "fax_number": "847-855-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10504 W BLUEMOUND RD",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264332",
            "telephone_number": "414-614-3625",
            "fax_number": "847-855-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKINNEY PROSTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-855-0030",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82615700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randall J McDaniel, DMD
• Juneau Claire McFadzen, ATC
• Kimberly McGowan
• Mary Catherine McGuire, M.S., OTR/L
• Conner McIlwee, MSW, BS
• Alyssa McKinney
• Eugene J. McMahon, MD
• Trevor James McMichael
• Kristin Ann McMillan, APNP
• Yawana McMurtry

• Prosthetic/Orthotic Supplier in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Prosthetic/Orthotic Supplier in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.