Individual provider Active NPI

James David McGaha Jr., FNP-C

  • Family Nurse Practitioner
  • Genoa, OH
National Provider Identifier
1023708187
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0033829 Issued in OH
Practice address
22614 State Route 51 W
Genoa, OH 43430-1143
Phone
(419) 855-7772
NPI assigned
May 11, 2023
Last updated
May 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0033829 OH Primary

Addresses

Primary practice location

22614 State Route 51 W
Genoa, OH 43430-1143

Mailing address

1857 Meadowlark Ave
Toledo, OH 43614-3943
Phone (419) 213-0556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230721001122 OH Practitioner - Nurse Practitioner 5092175026 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverwood Emergency Services IncGroup PAC ID 1153225669, 34 clinicians

Practice addresses (Care Compare)

1404 E 2ND St
Defiance, OH 43512-2440
Phone (567) 368-1008

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ultimate Care Emergency Physicians LLC CurrentSince Mar 1, 2024 Accepting new patients
Riverwood Emergency Services Inc. CurrentSince Jul 19, 2024 Accepting new patients
RS Medical Group PC CurrentSince Sep 5, 2023 Accepting new patients
RS Medical Group PC CurrentSince Sep 5, 2023 Accepting new patients

Locations

950 W Wooster St
Bowling Green, OH 43402
Phone (419) 354-8900

1404 E 2nd St
Defiance, OH 43512
Phone (567) 368-1008

3355 Briarfield Blvd
Ste E
Maumee, OH 43537
Phone (419) 868-3788

Interoperability endpoints

  • Direct secure messaging: jmcgaha2384893@direct.bsmhealth.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1023708187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1857 MEADOWLARK AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436143943",
            "telephone_number": "419-213-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22614 STATE ROUTE 51 W",
            "city": "GENOA",
            "state": "OH",
            "postal_code": "434301143",
            "telephone_number": "419-855-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGAHA",
        "first_name": "JAMES",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0033829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Genoa, OH

Sources for this page

Verify at the official NPI Registry.