Provider Demographics
NPI:1033197132
Name:GINTY, JOSEPH M (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:M
Last Name:GINTY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JOSEPH
Other - Middle Name:MICHAEL
Other - Last Name:GINTY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 7527
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-0727
Mailing Address - Country:US
Mailing Address - Phone:614-544-6366
Mailing Address - Fax:614-544-6370
Practice Address - Street 1:1800 GRANVILLE PIKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-1043
Practice Address - Country:US
Practice Address - Phone:740-785-4678
Practice Address - Fax:740-687-1518
Is Sole Proprietor?:No
Enumeration Date:2006-01-09
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35061807207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0854428Medicaid
OHH001011Medicare PIN
000000008878OtherANTHEM
0101885OtherUNITED HEALTHCARE
F10428Medicare UPIN
29650667002OtherMEDICAL MUTUAL
GI0707185Medicare ID - Type Unspecified
OH0854428Medicaid