Jean Marie McMahon, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

149967 Issued in NY

Practice address

1873 Western Avenue
Albany, NY 12203

Phone

(518) 690-4420

Fax

(518) 690-4427

NPI assigned

Feb 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801938097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 MIDDLELINE RD",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120203315",
            "telephone_number": "518-885-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1873 WESTERN AVENUE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12203",
            "telephone_number": "518-690-4420",
            "fax_number": "518-690-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "JEAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "149967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00934969",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corinne McLeod, MD
• Wylia McLeod, CERTIFIED DOULA
• Tena McLoughlin-Ramsnell
• McMahon Family Dentistry, PLLC
• James F. McMahon Jr., DMD
• Madison McMahon
• Sarah Elizabeth McMahon, PA-C
• Dina Beth McManus, LCSW-R
• Allie McMillen
• Laura Kirsten McMillen, FNP-BC

• Internal Medicine Physician in Albany, NY
• Providers in Albany, NY by specialty
• Internal Medicine Physician in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.