DR. JOHN WADE MCKINNEY (NPI# 1033173398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033173398 |
| Entity Type | Individual |
| Full Name | DR. JOHN WADE MCKINNEY |
| Credential | M.D. |
| Practice Address |
437 Hulsey Rd Bourbon MO 65441-8159 |
| Practice Telephone | 5737323499 |
| Practice Fax Number | 5737323499 |
| Mailing Telephone | 5737323499 |
| Mailing Fax Number | 5737323499 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2009-11-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | R6B87 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 040009014 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598168536 | John Luc Mckinney | Physical Therapy Assistant | 3794 Dominic Ct, Franklin, OH 45005-9495 | 2014-10-05 |
| 1295001535 | John Brenden Mckinney | Social Worker | 126 Crestline Ave, Cheyenne, WY 82009-4051 | 2012-03-30 |
| 1750687067 | John D Mckinney II | Contractor | 2525 La Salle Ave, Waco, TX 76706-3929 | 2011-02-03 |
| 1316100241 | John Bradley Mckinney | Dentist | 308 6th St S Ste 101, Oneonta, AL 35121-1842 | 2008-07-10 |
| 1457330813 | John M Mckinney Jr. | Surgery | 2055 E South Blvd Ste 603, Montgomery, AL 36116-2014 | 2006-01-13 |
| 1225456007 | John A. Mckinney | Social Worker | 600 Arthur St, Knoxville, TN 37921-6405 | 2014-03-31 |
| 1891006391 | John Stephen Mckinney | Pharmacist | 1959 W Andrew Johnson Hwy, Morristown, TN 37814-3777 | 2010-06-30 |
| 1992016653 | John Henry Mckinney | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2010-06-28 |
| 1669523023 | John Alexander Mckinney | Physical Therapist | 250 E Main St, Norton, MA 02766-2436 | 2007-01-14 |
| 1306996632 | John Mckinney | Optometrist | 1300 Ulster Ave, Kingston, NY 12401-1501 | 2007-01-11 |
| Street Address |
437 HULSEY RD |
| City | BOURBON |
| State | MO |
| Zip Code | 65441-8159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528268737 | Mark Williams Heywood | Chiropractor | 522 E Pine St, Bourbon, MO 65441 | 2007-07-25 |
| 1356462949 | Sunshine Residential, LLC | Custodial Care Facility | 541 Rock Road, Bourbon, MO 65441 | 2007-04-02 |
| 1013018654 | Vivian Dudley | Nurse Practitioner | 125 N Old Hwy 66, Bourbon, MO 65441 | 2006-09-26 |
| 1124285309 | Lynn Marie Schmader | Dentist | 246 College, Bourbon, MO 65441-0129 | 2008-05-16 |
| 1508280645 | Clark's Rx Farmington LLC | Pharmacy | 194 N Old Highway 66 Unit A, Bourbon, MO 65441-6298 | 2014-02-10 |
| 1235493776 | Mercy Clinic East Communities | Clinic/Center | 125 N Old Highway 66, Bourbon, MO 65441-6298 | 2012-06-29 |
| 1568597110 | Kathryn L Schlemper | Speech-Language Pathologist | 1444 S Old Highway 66, County of Crawford Public Schools Cons Dist R I, Bourbon, MO 65441-6300 | 2007-02-23 |
| 1306062161 | County of Crawford Public Schools | Physical Therapist | 1444 S Old Highway 66, Bourbon, MO 65441-6300 | 2007-04-18 |
| 1043609381 | Sunshine Rc LLC | Custodial Care Facility | 541 Rock Rd, Bourbon, MO 65441-6324 | 2015-01-09 |
| 1245746072 | Medley Pharmacy, Inc | Pharmacy | 124 Old Highway 66, Bourbon, MO 65441-6544 | 2017-12-15 |
| Find all providers in zip 65441 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205308871 | Head and Neck Surgical Associates of Lees Summit LLC | Otolaryngology | 3340 Ne Ralph Powell Rd, Lees Summit, MO 64064-2368 | 2018-12-20 |
| 1811480601 | Omar Ahmad Karadaghy | Otolaryngology | 600 E 8th St Apt 10s, Kansas City, MO 64106-1622 | 2018-06-07 |
| 1003337809 | Andrew John Vanbruggen | Otolaryngology | 1031 Mcintosh Cir, Joplin, MO 64804-3643 | 2017-06-30 |
| 1972043107 | Robert Christopher Loynd | Otolaryngology | 301 N. 2nd Street, St. Charles, MO 63301 | 2017-03-07 |
| 1649621921 | Zachary Farhood | Otolaryngology | 3635 Vista Ave, 6fdt, St. Louis, MO 63110 | 2016-06-28 |
| 1538510961 | Haley Nicole Bray | Otolaryngology | 3635 Vista Ave # 6dt, Saint Louis, MO 63110-2539 | 2016-06-27 |
| 1407207319 | Jesse Schmid | Otolaryngology | One Hosital Dr Ma314, Columbia, MO 65212 | 2016-06-22 |
| 1013304914 | Andrea Lee Hanick | Otolaryngology | Facial Plastic Surgery Center, 1044 North Mason Road, Mob4, Suite L10, Creve Coeur, MO 63141 | 2015-04-20 |
| 1023419405 | Arya W Namin | Otolaryngology | One Hospital Dr Ma314, Columbia, MO 65212 | 2014-09-04 |
| 1740689181 | David Sherman | Otolaryngology | 8350 State Route 30, Dittmer, MO 63023-1909 | 2014-08-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.