MEDICARE: DR. JAMES KEITH MCKECHNIE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	036058473	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	236090	OTHER	IL	MEDICARE PTAN
4	791203439	OTHER	IL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	002811	OTHER	IL	HEALTH ALLIANCE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	133038	OTHER	IL	HEALTHLINK PROVDER ID
6	1515701	OTHER	IL	BLUE SHIELD ID

General Provider Information

NPI Number	:	1093873234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES KEITH MCKECHNIE M.D.

Provider Business Mailing Address
First Line	:	103 PROFESSIONAL PLZ
Second Line	:
City	:	MATTOON
State	:	IL
Zip	:	61938-9252
Country	:	US
Telephone Number	:	217-348-1030
Fax Number	:	217-348-1090

Provider Business Practice Location Address
First Line	:	103 PROFESSIONAL PLZ
Second Line	:
City	:	MATTOON
State	:	IL
Zip	:	61938-9252
Country	:	US
Telephone Number	:	217-348-1030
Fax Number	:	217-348-1090

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	12/08/2009

Similar Medicare Providers

1982609087 — DR. PHILIP R BANGHART D.D.S.
Practice Location Address:

102 PROFESSIONAL PLZ
MATTOON, IL
61938-9252

Practice Phone: 217-345-7070
Practice Fax: 217-345-7077

1144337767 — DAVID WINOGRAD D.O.
Practice Location Address:

101 PROFESSIONAL PLZ
MATTOON, IL
61938-9252

Practice Phone: 217-238-3730
Practice Fax: 217-238-3732

1245362920 — MR. RICHARD WARREN KRUCKEBERG P.T., O.C.S., C.H.T.
Practice Location Address:

100 PROFESSIONAL PLZ
MATTOON, IL
61938-9252

Practice Phone: 217-345-1245
Practice Fax: 217-345-1253

1366615668 — LINCOLN TRAIL ORTHOPAEDIC CLINIC, S.C.
Practice Location Address:

103 PROFESSIONAL PLZ
MATTOON, IL
61938-9252

Practice Phone: 217-348-1030
Practice Fax: 217-348-1090

1336376433 — MS. KIMBERLY S JONES RN
Practice Location Address:

103 PROFESSIONAL PLZ
MATTOON, IL
61938-9252

Practice Phone: 217-348-1030
Practice Fax:

1699625038 — DAVID ALEXANDER ATHAY
Practice Location Address:

1000 HEALTH CENTER DR
MATTOON, IL
61938-4644

Practice Phone: 360-989-0283
Practice Fax:

Directions to “ DR. JAMES KEITH MCKECHNIE M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.