Individual provider Active NPI

John William Menard, M.D.

  • Plastic Surgery Physician
  • Tuscaloosa, AL
National Provider Identifier
1831167303
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
14811 Issued in AL
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, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
009942467MedicaidAL
051540312OtherALBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070612000235 AL Practitioner - Plastic and Reconstructive Surgery 2365540523 Reassigns benefits to 1 organization

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
Menard, Plastic Surgery LLCGroup PAC ID 3971601139, 2 clinicians

Practice addresses (Care Compare)

401 Towncenter Blvd
Tuscaloosa, AL 35406-1822
Phone (205) 391-9038

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy22
Melanoma (skin cancer) excision159
Removal of tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Menard, Plastic Surgery LLC Plastic Surgery CurrentSince May 1, 2007 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.