Provider Demographics
NPI:1356373526
Name:MCGARVEY, EILEEN F (MD)
Entity type:Individual
Prefix:
First Name:EILEEN
Middle Name:F
Last Name:MCGARVEY
Suffix:
Gender:F
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:PO BOX 189
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:IN
Mailing Address - Zip Code:47250-0189
Mailing Address - Country:US
Mailing Address - Phone:812-265-0180
Mailing Address - Fax:812-265-0570
Practice Address - Street 1:621 WEST ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:IN
Practice Address - Zip Code:47250-3344
Practice Address - Country:US
Practice Address - Phone:812-265-0180
Practice Address - Fax:812-265-0570
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN010445872085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
5950123OtherAETNA
KY64322316Medicaid
IN000000322964OtherANTHEM
IN005490OtherSIHO
P00138906OtherMEDICAIRE RAILROAD
KY50003188Medicaid
KY2444634000OtherPASSPORT ADVANTAGE
KY50003188OtherPASSPORT KENTUCKY
IN200093430Medicaid
KY2444634000OtherPASSPORT ADVANTAGE
5950123OtherAETNA
INP00138906Medicare PIN
IN412840RRMedicare PIN