Provider Demographics
NPI:1841227873
Name:MCGRAW, DANIEL JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:JOSEPH
Last Name:MCGRAW
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 1:705 GARFIELD AVE
Mailing Address - Street 2:SUITE 460
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-5444
Mailing Address - Country:US
Mailing Address - Phone:304-424-2093
Mailing Address - Fax:304-424-2101
Practice Address - Street 1:705 GARFIELD AVE
Practice Address - Street 2:SUITE 460
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-5444
Practice Address - Country:US
Practice Address - Phone:304-424-2093
Practice Address - Fax:304-424-2101
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV194812086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVWV19481OtherUNICARE
WV012749000Medicaid
WV311524546008OtherBLUE CROSS BLUE SHIELD
628159OtherCIGNA
P00079967OtherRAILROAD MEDICARE
4239007OtherAETNA
OH311524546009OtherBLUE CROSS BLUE SHIELD
WV19481OtherTHE HEALTH PLAN
OH2080840Medicaid
P00079967OtherRAILROAD MEDICARE
F53018Medicare UPIN
WVMC7319171Medicare ID - Type Unspecified