Active NPI
Edward John McGinnis, MD
- Orthopaedic Surgery Physician
- Salisbury, MD
National Provider Identifier
1790766418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- D32345
- Practice address
- 1675 Woodbrooke Drive
Salisbury, MD 21804 - Phone
- (410) 749-4154
- Fax
- (410) 860-9583
- NPI assigned
- Nov 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | D32345 | MD | Primary |
Addresses
Primary practice location
1675 Woodbrooke Drive
Salisbury, MD 21804
Mailing address
PO Box 2415
Salisbury, MD 21802-2415
Phone (410) 749-4154
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66G39 | Other | EMPIRE BCBS | |
| 200022314 | Other | RAILROAD MEDICARE | |
| 327279 | Other | PRIME HEALTH | |
| 378481900 | Medicaid | MD | |
| 221921800 | Other | US DEPARTMENT OF LABOR | |
| 22856 | Other | MD | MDIPA OPTIMUM CHOICE |
| 0000187201 | Medicaid | DE | |
| 091051 | Other | VA | TRIGON VA BCBS |
| NP0009 | Other | FREESTATE DELMARVA HEALTH | |
| 41777101H524PE | Other | BCBS TRAD PRODUCTS | |
| 0006W409 | Other | BCBS PROD FEP BLUE CHOICE | |
| 006476953 | Medicaid | VA | |
| 3226878 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D32345 | MD | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peninsula Orthopaedic Assoc, PA | Orthopaedic Surgery | Current | Accepting new patients |
| Peninsula Orthopaedic Associates, P.a. | Orthopaedic Surgery | Past | Accepting new patients |
Locations
30265 Commerce Dr
Unit 104
Millsboro, DE 19966
Phone (302) 629-4787
11 Fallon Ave
Seaford, DE 19973
1675 Woodbrooke Dr
Salisbury, MD 21804
Phone (410) 860-4514
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Salisbury, MD
- NPI 1811188766
-
- Orthopaedic Surgery Physician
- Salisbury, MD
- NPI 1326114141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212710400000",
"number": "1790766418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2415",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218022415",
"telephone_number": "410-749-4154",
"fax_number": "410-860-9583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 WOODBROOKE DRIVE",
"city": "SALISBURY",
"state": "MD",
"postal_code": "21804",
"telephone_number": "410-749-4154",
"fax_number": "410-860-9583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGINNIS",
"first_name": "EDWARD",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2008-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MD",
"license": "D32345",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "66G39",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "200022314",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIME HEALTH",
"identifier": "327279",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "378481900",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPARTMENT OF LABOR",
"identifier": "221921800",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDIPA OPTIMUM CHOICE",
"identifier": "22856",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000187201",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIGON VA BCBS",
"identifier": "091051",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FREESTATE DELMARVA HEALTH",
"identifier": "NP0009",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TRAD PRODUCTS",
"identifier": "41777101H524PE",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROD FEP BLUE CHOICE",
"identifier": "0006W409",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006476953",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3226878",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.