Provider Demographics
NPI:1083632269
Name:MCGINNIS, PAUL SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:SCOTT
Last Name:MCGINNIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8 CADILLAC DRIVE
Mailing Address - Street 2:SUITE 230
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-3038
Mailing Address - Country:US
Mailing Address - Phone:552-703-6258
Mailing Address - Fax:561-461-5959
Practice Address - Street 1:1501 42ND STREET STE 575
Practice Address - Street 2:
Practice Address - City:WEST DES MOINSE
Practice Address - State:IA
Practice Address - Zip Code:50266-0001
Practice Address - Country:US
Practice Address - Phone:601-824-0342
Practice Address - Fax:601-824-0349
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
MS152512084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00124665Medicaid
MS00124665Medicaid
MS640584893OtherFEDERAL TAX ID
MSH48733Medicare UPIN