Active NPI
David C Ginn, MD
- Hematology & Oncology Physician
- Paducah, KY
National Provider Identifier
1386694073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 26367
- Practice address
- 100 Kiana CT
Paducah, KY 42001-6787 - Phone
- (270) 554-0011
- Fax
- (270) 554-6540
- NPI assigned
- May 11, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MD0000019543 | TN | |
| Hematology & Oncology Physician | 207RH0003X | 26367 | KY | Primary |
| Hematology & Oncology Physician | 207RH0003X | IL036-07860 | IL |
Addresses
Primary practice location
100 Kiana CT
Paducah, KY 42001-6787
Mailing address
PO Box 7564
Paducah, KY 42002-7564
Phone (270) 554-0011
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000152786 | Other | TN | UNISON HEALTH PLAN MEDICARE ADVANTAGE |
| 64263676 | Medicaid | KY | |
| E07401 | Other | KY | BLUEGRASS FAMILY HEALTH |
| 4079574 | Other | TN | BCBS OF TN |
| 9530 | Other | TN | TLC - FAMILYCAREHLTHPLAN |
| 052584 | Other | KY | HEALTH ALLIANCE |
| 000000331513 | Other | KY | ANTHEM BCBS KY |
| 2966 | Other | KY | CHA |
| 020248399 | Other | DEPT OF LABOR | |
| 0910602 | Other | KY | UMWA |
| 238601 | Other | KY | HEALTHLINK |
| 3048102 | Medicaid | TN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| IL036-07860 | IL | MD | Hematology & Oncology Physician |
| 26367 | KY | MD | Hematology & Oncology Physician |
| MD0000019543 | TN | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oncology Hematology Consultants, PSC | Hematology & Oncology | Past | Accepting new patients |
| Baptist Health Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Paducah, KY
- NPI 1922401611
-
- Hematology & Oncology Physician
- Paducah, KY
- NPI 1205883378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212537600000",
"number": "1386694073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7564",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420027564",
"telephone_number": "270-554-0011",
"fax_number": "270-554-6540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 KIANA CT",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420016787",
"telephone_number": "270-554-0011",
"fax_number": "270-554-6540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GINN",
"first_name": "DAVID",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2008-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TN",
"license": "MD0000019543",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "KY",
"license": "26367",
"primary": true
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IL",
"license": "IL036-07860",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON HEALTH PLAN MEDICARE ADVANTAGE",
"identifier": "000000152786",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64263676",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUEGRASS FAMILY HEALTH",
"identifier": "E07401",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN",
"identifier": "4079574",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TLC - FAMILYCAREHLTHPLAN",
"identifier": "9530",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "052584",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS KY",
"identifier": "000000331513",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHA",
"identifier": "2966",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "020248399",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "0910602",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "238601",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3048102",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.