Organization Active NPI

James F McGuckin MD of MD PA

  • Vascular & Interventional Radiology Physician
  • Waldorf, MD
National Provider Identifier
1730480872
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
JAMES F MCGUCKIN MD OF MD PA
Practice address
3450 Old Washington Rd Ste 202
Waldorf, MD 20602-3250
Phone
(301) 645-3590
NPI assigned
Nov 5, 2010
Last updated
May 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Authorized official

Name
Mr. Seth Sharpe
Title
Chief Executive Officer
Phone
(215) 382-3680

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X NU Primary
Vascular Surgery Physician 2086S0129X NU

Addresses

Primary practice location

3450 Old Washington Rd Ste 202
Waldorf, MD 20602-3250

Mailing address

2929 Arch St
Suite 1750
Philadelphia, PA 19104-2866
Phone (215) 382-3680

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1730480872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 ARCH ST",
            "address_2": "SUITE 1750",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042866",
            "telephone_number": "215-382-3680",
            "fax_number": "215-240-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 OLD WASHINGTON RD STE 202",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023250",
            "telephone_number": "301-645-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES F MCGUCKIN MD OF MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "SHARPE",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "215-382-3680",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.