1245454883 NPI number — DR. DAVID JOHN MCCANN M.D.

Table of content: DR. DAVID JOHN MCCANN M.D. (NPI 1245454883)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245454883 NPI number — DR. DAVID JOHN MCCANN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCCANN
Provider First Name:
DAVID
Provider Middle Name:
JOHN
Provider Name Prefix Text:
DR.
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:
1245454883
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
62 DOUGLAS DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAUNDERSTOWN
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02874-1951
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
617-320-0766
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11 FRIENDSHIP ST
Provider Second Line Business Practice Location Address:
NEWPORT EMERGENCY PHYSICIANS INC
Provider Business Practice Location Address City Name:
NEWPORT
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02840-2209
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-845-1594
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/13/2007

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: 207P00000X , with the licence number:  MD12293 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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