1801841358 NPI number — MICHAEL CLIFTON MCGINNIS M.D.

Table of content: MRS. JENNA E SPEZIALE CNP, FNP-BC (NPI 1962959445)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801841358 NPI number — MICHAEL CLIFTON MCGINNIS M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCGINNIS
Provider First Name:
MICHAEL
Provider Middle Name:
CLIFTON
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

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 Information

NPI Number:
1801841358
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/20/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5700 SOUTHWYCK BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TOLEDO
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43614-1509
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-288-8325
Provider Business Mailing Address Fax Number:
419-866-5453

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
911 SUNSET DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOLLISTER
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95023-5606
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
831-637-5711
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/23/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207ZP0102X , with the licence number:  141451 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207ZP0102X , with the licence number: 255317 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2144647 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 60015389 . This is a "HORIZON NJ HEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 100208290A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 250774730N01 . This is a "HIP OF NY" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 302894 . This is a "AVMED,INC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5001628 . This is a "GHI" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 2359696000 . This is a "AMERIHEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: P00208899 . This is a "RR MEDICARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: P3431936 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 100745580B . This is a "SOONERCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4093337 . This is a "AMERICAN TRAVELERS ASSUR." identifier . This identifiers is of the category "OTHER".
  • Identifier: 0052167 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1590753 . This is a "GHI" identifier , issued by the state of ( OK ) . This identifiers is of the category "OTHER".
  • Identifier: 2738769 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2K7528 . This is a "HEALTHNET" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 39305 . This is a "UHP OF NJ" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 91001516800 . This is a "AMERICHOICE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com