Provider Demographics
NPI:1033720008
Name:MCGINLEY MEDICAL, PC
Entity Type:Organization
Organization Name:MCGINLEY MEDICAL, PC
Other - Org Name:THE MCGINLEY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:MCGINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:215-847-1462
Mailing Address - Street 1:2435 KING BLVD STE 233
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82604-3166
Mailing Address - Country:US
Mailing Address - Phone:866-678-1623
Mailing Address - Fax:833-992-2034
Practice Address - Street 1:234 E 1ST ST STE 230
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-2516
Practice Address - Country:US
Practice Address - Phone:866-678-4699
Practice Address - Fax:833-992-2034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-13
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty