JUSTIN L. MCKINNEY DO – NPI #1124339858
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

Health Care Provider Taxonomy Code for Surgery

JUSTIN MCKINNEY is a surgeon located in CHARLESTON, WV. NPPES has assigned the NPI number 1124339858 to JUSTIN MCKINNEY on June 28, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 5 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 3 years ago on Aug 31, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JUSTIN MCKINNEY below.

NPI Profile for
JUSTIN L. MCKINNEY

NPI Number
1124339858
Enumeration Date

(about 16 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JUSTIN L. MCKINNEY
Credentials
DO
Primary location
210 BROOKS ST STE 200
CHARLESTON, WV 25301
Phone: (304) 388-1930 Fax: (304) 388-1929
5 Other location(s):
160 Fountains Blvd Ste B
Madison, MS 39110-6380
Phone: (601) 981-2525 Ext: 600
Fax: (601) 981-3152
550 Centre St
Nutley, NJ 07110-2259
Phone: (516) 982-2324
1201 Washington St E
Charleston, WV 25301-1834
Phone: (304) 388-1800
3200 MacCorkle Ave SE
Charleston, WV 25304-1227
Phone: (304) 388-5432
501 Morris St
Charleston, WV 25301-1326
Phone: (304) 388-5432
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Aug 31, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JUSTIN MCKINNEY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMS06509284
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)		 WV 3424
2086S0105X
- Surgery / Surgery of the Hand		 MS 25454
2082S0105X
- Plastic Surgery / Surgery of the Hand		 WV 3424
208200000X
- Plastic Surgery		 WV 3424

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
DIRECT MESSAGING
Content Type
OTHER
Affiliation
N
Endpoint Location
160 FOUNTAINS BLVD STE B,
MADISON, MS 77025-1669

Additional Information

Education
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY - Graduated 2010
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JUSTIN MCKINNEY is affiliated with the following medical group(s):
  • HOSPITAL
    • CHARLESTON AREA MEDICAL CENTER
      501 MORRIS STREET
      CHARLESTON, WV 25301
    • ST DOMINIC-JACKSON MEMORIAL HOSPITAL
      969 LAKELAND DR
      JACKSON, MS 39216

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.