Active NPI
Darrin Lee McGhan, P.A.
- Physician Assistant
- Crystal River, FL
National Provider Identifier
1366437535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 3449
- Practice address
- 7562 W Gulf to Lake Hwy
Crystal River, FL 34429-7840 - Phone
- (352) 436-4328
- NPI assigned
- Sep 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 3449 | FL | Primary |
Addresses
Primary practice location
7562 W Gulf to Lake Hwy
Crystal River, FL 34429-7840
Mailing address
7562 W Gulf to Lake Hwy
Crystal River, FL 34429-7840
Phone (352) 436-4328
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010733500 | Medicaid | FL |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 3449 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1366437535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7562 W GULF TO LAKE HWY",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344297840",
"telephone_number": "352-436-4328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7562 W GULF TO LAKE HWY",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344297840",
"telephone_number": "352-436-4328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGHAN",
"first_name": "DARRIN",
"middle_name": "LEE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2021-04-09",
"certification_date": "2021-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA 3449",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010733500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Crystal River, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.