Individual provider Active NPI

Andrew W McGinnis, MD

  • Cardiovascular Disease Physician
  • Darby, PA
National Provider Identifier
1073594669
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD01287E Issued in PA
Practice address
1501 Lansdowne Ave
Suite 104
Darby, PA 19023-1333
Phone
(610) 534-6150
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD01287E PA Primary
Cardiovascular Disease Physician 207RC0000X 25MA02867700 NJ

Addresses

Primary practice location

1501 Lansdowne Ave
Suite 104
Darby, PA 19023-1333

Mailing address

1501 Lansdowne Ave
Suite 104
Darby, PA 19023-1333
Phone (610) 534-6150

Other identifiers 1

IdentifierTypeStateIssuer
0031363000OtherPAIBC HMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA02867700NJMDCardiovascular Disease Physician
MD01287EPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M & M Medical Associates Inc Cardiovascular Disease Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1073594669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 LANSDOWNE AVE",
            "address_2": "SUITE 104",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231333",
            "telephone_number": "610-534-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LANSDOWNE AVE",
            "address_2": "SUITE 104",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231333",
            "telephone_number": "610-534-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINNIS",
        "first_name": "ANDREW",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD01287E",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA02867700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC HMO",
            "identifier": "0031363000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Darby, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.