Provider Demographics
NPI:1982690814
Name:MCADOO, JEFFREY FLOYD (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:FLOYD
Last Name:MCADOO
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 1:75 HOSPITAL DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-2857
Mailing Address - Country:US
Mailing Address - Phone:740-592-4461
Mailing Address - Fax:740-592-5899
Practice Address - Street 1:75 HOSPITAL DR
Practice Address - Street 2:SUITE 110
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-2857
Practice Address - Country:US
Practice Address - Phone:740-592-4461
Practice Address - Fax:740-592-5899
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35057142207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0824077Medicaid
OH0824077Medicaid
OH0695161Medicare PIN
180014026Medicare PIN