Provider Demographics
NPI:1437134285
Name:MCGEE, MICHAEL J (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:J
Last Name:MCGEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:676 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:17557-1426
Mailing Address - Country:US
Mailing Address - Phone:717-354-4671
Mailing Address - Fax:717-354-2478
Practice Address - Street 1:676 E MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW HOLLAND
Practice Address - State:PA
Practice Address - Zip Code:17557-1426
Practice Address - Country:US
Practice Address - Phone:717-354-4671
Practice Address - Fax:717-354-2478
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD034713E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01805801OtherCAPITAL BLUE CROSS
PA4498333OtherAETNA NON-HMO
PA50041800OtherCAPITAL BLUE CROSS
PAP002647OtherGATEWAY HEALTH PLAN
PA0010557650001Medicaid
PA50043849OtherCAPITAL BLUE CROSS
PA34750 S1QIOtherGEISINGER HEALTH PLAN
PA50061974OtherCAPITAL BLUE CROSS
PA50068267OtherCAPITAL BLUE CROSS
PA50060211OtherCAPITAL BLUE CROSS
PAC33905OtherHEALTH ASSURANCE
PA080015715OtherRAILROAD MEDICARE
PA50046256OtherCAPITAL BLUE CROSS
PA533022OtherAETNA HMO
PA425657OtherHIGHMARK BLUE SHIELD
PA425657JZEMedicare PIN
PAC33905OtherHEALTH ASSURANCE
PA50068267OtherCAPITAL BLUE CROSS