1902801780 NPI number — JUDIANN MCGHEE M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902801780 NPI number — JUDIANN MCGHEE M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

MCGHEE

Provider First Name:

JUDIANN

Provider Middle Name:

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

F

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1902801780

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

02/03/2011

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

33 MARQUAND LN

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

NEWBURYPORT

Provider Business Mailing Address State Name:

MA

Provider Business Mailing Address Postal Code:

01950-3332

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

978-459-2273

Provider Business Mailing Address Fax Number:

978-465-5085

Provider First Line Business Practice Location Address:

33 MARQUAND LN

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

NEWBURYPORT

Provider Business Practice Location Address State Name:

MA

Provider Business Practice Location Address Postal Code:

01950-3332

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

978-835-9162

Provider Business Practice Location Address Fax Number:

978-465-5085

Provider Enumeration Date:

06/17/2005

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207Q00000X , with the licence number:  75413 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 080187964 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
• Identifier: 974559 . This is a "NETWORK HEALTH" identifier . This identifiers is of the category "OTHER".
• Identifier: 01-03312 . This is a "EVERCARE" identifier . This identifiers is of the category "OTHER".
• Identifier: 71912 . This is a "HARVARD PILGRIM HEALTHCAR" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 30011647 . This is a "NH MEDICAID" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
• Identifier: 678844 . This is a "HEALTHSOURCE" identifier . This identifiers is of the category "OTHER".
• Identifier: G03381 . This is a "ANTHEM BLUE CROSS" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
• Identifier: 3139905 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
• Identifier: 718423 . This is a "TUFTS HEALTH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 1231948 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
• Identifier: 0017000 . This is a "NEIGHBORHOOD HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
• Identifier: J31248 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".