Organization Active NPI

John R. McGill, MD, PA

  • Specialist
  • Bangor, ME
National Provider Identifier
1649544438
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
009457 Issued in ME
Legal business name
JOHN R. MCGILL, MD, PA
Practice address
436A State St
Bangor, ME 04401-6606
Phone
(207) 947-4555
Fax
(207) 947-3619
NPI assigned
Feb 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Authorized official

Name
Dr. John R McGill, M.D.
Title
President
Phone
(207) 947-4555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 009457 ME Primary

Addresses

Primary practice location

436A State St
Bangor, ME 04401-6606

Mailing address

436A State St
Bangor, ME 04401-6606
Phone (207) 947-4555

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1649544438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436A STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016606",
            "telephone_number": "207-947-4555",
            "fax_number": "207-947-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436A STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016606",
            "telephone_number": "207-947-4555",
            "fax_number": "207-947-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R. MCGILL, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "MCGILL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-947-4555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "ME",
            "license": "009457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.