Organization Active NPI

Philip J McGann MD,PA

  • Clinic/Center
  • Frederick, MD
National Provider Identifier
1548355613
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
D0029921 Issued in MD
Legal business name
PHILIP J MCGANN MD,PA
Practice address
1003 W 7TH St
#400
Frederick, MD 21701-8532
Phone
(301) 662-3721
Fax
(301) 631-5668
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Authorized official

Name
Dr. Philip John McGann, M.D.
Title
Medical Director
Phone
(301) 662-3721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X D0029921 MD Primary

Addresses

Primary practice location

1003 W 7TH St
#400
Frederick, MD 21701-8532

Mailing address

1003 W 7TH St
#400
Frederick, MD 21701-8532
Phone (301) 662-3721

Other identifiers 1

IdentifierTypeStateIssuer
463421700MedicaidMD

National Provider Directory

National Provider Directory

Locations

1003 W 7th St
Ste 400
Frederick, MD 21701
Phone (240) 575-9580

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1548355613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 W 7TH ST",
            "address_2": "#400",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217018532",
            "telephone_number": "301-662-3721",
            "fax_number": "301-631-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 W 7TH ST",
            "address_2": "#400",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217018532",
            "telephone_number": "301-662-3721",
            "fax_number": "301-631-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP J MCGANN MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "MCGANN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-662-3721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "D0029921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "463421700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.

Verify at the official NPI Registry.