Provider Demographics
NPI:1790766418
Name:MCGINNIS, EDWARD JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:JOHN
Last Name:MCGINNIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 2415
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21802-2415
Mailing Address - Country:US
Mailing Address - Phone:410-749-4154
Mailing Address - Fax:410-860-9583
Practice Address - Street 1:1675 WOODBROOKE DRIVE
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804
Practice Address - Country:US
Practice Address - Phone:410-749-4154
Practice Address - Fax:410-860-9583
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2008-06-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD32345207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
66G39OtherEMPIRE BCBS
200022314OtherRAILROAD MEDICARE
327279OtherPRIME HEALTH
MD378481900Medicaid
221921800OtherUS DEPARTMENT OF LABOR
MD22856OtherMDIPA OPTIMUM CHOICE
DE0000187201Medicaid
VA091051OtherTRIGON VA BCBS
NP0009OtherFREESTATE DELMARVA HEALTH
41777101H524PEOtherBCBS TRAD PRODUCTS
0006W409OtherBCBS PROD FEP BLUE CHOICE
VA006476953Medicaid
3226878OtherAETNA
0006W409OtherBCBS PROD FEP BLUE CHOICE
66G39OtherEMPIRE BCBS