Individual provider Active NPI

Michael Thomas McGinn, D.P.M.

  • Podiatrist
  • Miami, FL
National Provider Identifier
1750509303
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3477 Issued in FL
Practice address
3095 NW 7TH St
Miami, FL 33125-4241
Phone
(305) 642-4044
Fax
(305) 642-2320
NPI assigned
Apr 20, 2007
Last updated
Jan 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO3477 FL Primary

Addresses

Primary practice location

3095 NW 7TH St
Miami, FL 33125-4241

Mailing address

8745 SW 56TH PL
Cooper City, FL 33328-5917
Phone (865) 406-3668

Other names 1

  • Michael McGinn Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110603000388 FL Practitioner - Podiatry 3870770688 Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3477FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Quantum Business Development,Inc Podiatrist CurrentSince Jun 1, 2012 Accepting new patients

Locations

3750 W 16th Ave
Ste 108
Hialeah, FL 33012
Phone (305) 512-2887

4355 W 16th Ave
Ste 209
Hialeah, FL 33012
Phone (305) 512-2887

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1750509303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8745 SW 56TH PL",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333285917",
            "telephone_number": "865-406-3668",
            "fax_number": "305-642-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3095 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254241",
            "telephone_number": "305-642-4044",
            "fax_number": "305-642-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINN",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "MCGINN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.