Provider Demographics
NPI:1700828662
Name:MCDAY, JOHN B (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:B
Last Name:MCDAY
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 1:2058 MATSONS CIR
Mailing Address - Street 2:
Mailing Address - City:VILLANOVA
Mailing Address - State:PA
Mailing Address - Zip Code:19085-1814
Mailing Address - Country:US
Mailing Address - Phone:802-343-2435
Mailing Address - Fax:610-527-3164
Practice Address - Street 1:2058 MATSONS CIR
Practice Address - Street 2:
Practice Address - City:VILLANOVA
Practice Address - State:PA
Practice Address - Zip Code:19085-1814
Practice Address - Country:US
Practice Address - Phone:802-343-2435
Practice Address - Fax:610-527-3164
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD019519E2085R0001X
VA01012455592085R0001X
VT042-00065202085R0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0203XAllopathic & Osteopathic PhysiciansRadiologyTherapeutic Radiology
No2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0005745Medicaid
VTMCVT5745Medicare Oscar/Certification
VTKX0729Medicare PIN
VT0005745Medicaid