Active NPI
John William Menard, M.D.
- Plastic Surgery Physician
- Tuscaloosa, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 14811
- Practice address
- 401 Towncenter Blvd
Suite B
Tuscaloosa, AL 35406-1822 - Phone
- (205) 391-9038
- Fax
- (205) 391-4688
- NPI assigned
- Mar 10, 2006
- Last updated
- Nov 6, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 14811 | AL | Primary |
Addresses
Primary practice location
401 Towncenter Blvd
Suite B
Tuscaloosa, AL 35406-1822
Mailing address
401 Towncenter Blvd
Suite B
Tuscaloosa, AL 35406-1822
Phone (205) 391-9038
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009942467 | Medicaid | AL | |
| 051540312 | Other | AL | BLUE CROSS/BLUE SHIELD OF ALABAMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Louisiana State University School of Medicine in New Orleans, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 Towncenter Blvd
Tuscaloosa, AL 35406-1822
Phone (205) 391-9038
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 22 |
| Melanoma (skin cancer) excision | 159 |
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Menard, Plastic Surgery LLC | Plastic Surgery | Current | Accepting new patients |
| Plastic Surgery of Tuscaloosa Inc | Plastic Surgery | Past | Accepting new patients |
Locations
401 Towncenter Blvd
#B
Tuscaloosa, AL 35406
Phone (205) 345-3881
Interoperability endpoints
- john.menard@menplasx.direct.medconnect-inc.com
Organizations & group practices 2
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.
-
- Plastic Surgery Physician
- Tuscaloosa, AL
- NPI 1306053327
-
- Plastic and Reconstructive Surgery Physician
- Tuscaloosa, AL
- NPI 1316014681
Plastic Surgery
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba DCH Health & Wellness Clinic
- Clinic/Center
- Tuscaloosa, AL
- NPI 1306613211
Hospital
-
dba DCH Outpatient Services
- Clinic/Center
- Tuscaloosa, AL
- NPI 1780927681
Hospital
-
dba DCH Regional Medical Center
- General Acute Care Hospital
- Tuscaloosa, AL
- NPI 1841394418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446768000000",
"number": "1831167303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 TOWNCENTER BLVD",
"address_2": "SUITE B",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354061822",
"telephone_number": "205-391-9038",
"fax_number": "205-391-4688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 TOWNCENTER BLVD",
"address_2": "SUITE B",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354061822",
"telephone_number": "205-391-9038",
"fax_number": "205-391-4688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENARD",
"first_name": "JOHN",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2015-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "AL",
"license": "14811",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009942467",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD OF ALABAMA",
"identifier": "051540312",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tuscaloosa, AL
- Sheni Meghani, M.D.
- Terry A. Meharry, M.S., P.T.
- Mansoor Mehmood, M.D.
- Hillary Jordan Melton, RN
- Grayson William Menard, M.D.
- Menard, Plastic Surgery LLC
- Amanda McKelvey Mennen, M.S. CCC-SLP
- Mental Health BD of Bibb Pickens and Tuscaloosa Counties (Indian Rivers MHC)
- Mental Health BD of Bibb Pickens and Tuscaloosa Counties (Indian Rivers Mental Health Center)
- Mental Health Board of Bibb Pickens & Tuscaloosa Counties, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.