Phillip Edward McGinnis, M.ED., ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126001474 Issued in VA

Practice address

101A Long Green Blvd
Yorktown, VA 23693-4139

Phone

(757) 952-1900

NPI assigned

Nov 11, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Mary Immaculate Hospital LLC

  • General Acute Care Hospital
  • Newport News, VA
  • NPI 1538535463
  NPD (past)

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257897600000",
    "number": "1649507633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 TILGHMAN CT APT A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101A LONG GREEN BLVD",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236934139",
            "telephone_number": "757-952-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINNIS",
        "first_name": "PHILLIP",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "M.ED., ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-11",
        "last_updated": "2009-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126001474",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT004225",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Maynard
• Melissa McClain
• Rachel Murray McClure
• Brendan Michael McConnell, D.P.M.
• Rodney A McDaniel, D.D.S.
• Amy McGuire
• Ronnette P McIntosh
• Theresa Ann McLeod, RN IBCLC
• Katherine McShane, PHARM.D.
• Amanda Lee Meadows, M.ED

• Athletic Trainer in Yorktown, VA
• Providers in Yorktown, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.