1992361224 NPI number — JOCELYN ANN MCGINNIS MD FACOG

Table of content: JOCELYN ANN MCGINNIS MD FACOG (NPI 1992361224)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992361224 NPI number — JOCELYN ANN MCGINNIS MD FACOG

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCGINNIS
Provider First Name:
JOCELYN
Provider Middle Name:
ANN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD FACOG
Provider Gender Code:
F

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:
1992361224
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/13/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
63 BD VICTOR HUGO
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEUILLY
Provider Business Mailing Address State Name:
FRANCE
Provider Business Mailing Address Postal Code:
92200
Provider Business Mailing Address Country Code:
FR
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
63 BD VICTOR HUGO
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEUILLY
Provider Business Practice Location Address State Name:
FRANCE
Provider Business Practice Location Address Postal Code:
92200
Provider Business Practice Location Address Country Code:
FR
Provider Business Practice Location Address Telephone Number:
11-331-4641
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/13/2019

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: 207V00000X , with the licence number:  G87991 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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