Provider Demographics
NPI:1902958028
Name:MCGINNIS, JAMES MARTIN (DO)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MARTIN
Last Name:MCGINNIS
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:8046 OHIO RIVER ROAD
Mailing Address - Street 2:SUITE A
Mailing Address - City:WHEELERSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45694
Mailing Address - Country:US
Mailing Address - Phone:740-574-2042
Mailing Address - Fax:740-574-6425
Practice Address - Street 1:8046 OHIO RIVER ROAD
Practice Address - Street 2:SUITE A
Practice Address - City:WHEELERSBURG
Practice Address - State:OH
Practice Address - Zip Code:45694
Practice Address - Country:US
Practice Address - Phone:740-574-2042
Practice Address - Fax:740-574-4932
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2012-12-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH34005660207Q00000X, 208VP0000X
KY02723207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0900654Medicaid
E70449Medicare UPIN
OH0730433Medicare ID - Type Unspecified