McKinnon Medical Group, PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

MCKINNON MEDICAL GROUP, PLLC

Practice address

2400 S Cimarron Rd Ste 120
Las Vegas, NV 89117-7902

Phone

(702) 505-4230

NPI assigned

Nov 8, 2011

Organization subpart

No

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

Authorized official

Name

Jonathan McKinnon, MDNPI 1730159385

Title

Manager

Phone

(702) 256-3637

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan H McKinnon, M.D.

  • Neurology Physician
  • Las Vegas, NV
  • NPI 1730159385
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1841577541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 W WASHINGTON AVE STE 127-160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284333",
            "telephone_number": "702-505-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S CIMARRON RD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177902",
            "telephone_number": "702-505-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKINNON MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "MCKINNON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-256-3637",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrina McKinney
• Robin McKinney
• Tiffany Brianne McKinney
• Vernessa Deners McKinney, M.ED
• Sharon L McKinnis, CRT
• McKinnon Rheumatology Associates PLLC
• Eunice Judith McKinnon
• Jonathan H McKinnon, M.D.
• Naya McKinnon, M.D.
• Tierra McKinnon

• Neurology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Neurology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.