Provider Demographics
NPI:1902801780
Name:MCGHEE, JUDIANN (MD)
Entity Type:Individual
Prefix:
First Name:JUDIANN
Middle Name:
Last Name:MCGHEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 MARQUAND LN
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-3332
Mailing Address - Country:US
Mailing Address - Phone:978-459-2273
Mailing Address - Fax:978-465-5085
Practice Address - Street 1:33 MARQUAND LN
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-3332
Practice Address - Country:US
Practice Address - Phone:978-835-9162
Practice Address - Fax:978-465-5085
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA75413207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
080187964OtherRAILROAD MEDICARE
974559OtherNETWORK HEALTH
01-03312OtherEVERCARE
MA71912OtherHARVARD PILGRIM HEALTHCAR
NH30011647OtherNH MEDICAID
678844OtherHEALTHSOURCE
NVG03381OtherANTHEM BLUE CROSS
MA3139905Medicaid
MA718423OtherTUFTS HEALTH PLAN
1231948OtherCIGNA
0017000OtherNEIGHBORHOOD HEALTH PLAN
MAJ31248OtherBLUE CROSS BLUE SHIELD
080187964OtherRAILROAD MEDICARE
974559OtherNETWORK HEALTH