Active NPI
Ronald Michael McGill Jr.
- Pediatrics Physician
- Dubuque, IA
National Provider Identifier
1942289574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 24743
- Practice address
- 1500 Delhi St
Suite 3500
Dubuque, IA 52001-6358 - Phone
- (563) 557-5911
- Fax
- (563) 557-5910
- NPI assigned
- Jan 12, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 24743 | IA | Primary |
Addresses
Primary practice location
1500 Delhi St
Suite 3500
Dubuque, IA 52001-6358
Mailing address
1500 Delhi St
Suite 3500
Dubuque, IA 52001-6321
Phone (563) 557-5911
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10551 | Other | IA | MIDLAND'S CHOICE |
| 0033423 | Medicaid | IA | |
| 67153 | Other | IA | HAWK-I |
| 11351 | Other | IA | DEAN HEALTH PLAN |
| 23314 | Other | IA | WELLMARK BCBS OF IOWA |
| IA0109 | Other | IA | JOHN DEERE HEALTH PLAN |
Other names 1
- Dr. Mike McGill Jr.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24743 | IA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476230400000",
"number": "1942289574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 DELHI ST",
"address_2": "SUITE 3500",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520016321",
"telephone_number": "563-557-5911",
"fax_number": "563-557-5910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 DELHI ST",
"address_2": "SUITE 3500",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520016358",
"telephone_number": "563-557-5911",
"fax_number": "563-557-5910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGILL",
"first_name": "RONALD",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2016-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IA",
"license": "24743",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLAND'S CHOICE",
"identifier": "10551",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0033423",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAWK-I",
"identifier": "67153",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN HEALTH PLAN",
"identifier": "11351",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS OF IOWA",
"identifier": "23314",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE HEALTH PLAN",
"identifier": "IA0109",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MIKE",
"last_name": "MCGILL",
"prefix": "DR.",
"suffix": "JR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.