Provider Demographics
NPI:1700865896
Name:MCGRAW, J KEVIN (MD)
Entity Type:Individual
Prefix:
First Name:J
Middle Name:KEVIN
Last Name:MCGRAW
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:100 E CAMPUS VIEW BLVD
Mailing Address - Street 2:STE 160
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-4647
Mailing Address - Country:US
Mailing Address - Phone:614-396-4750
Mailing Address - Fax:614-396-4742
Practice Address - Street 1:3525 OLENTANGY RIVER RD
Practice Address - Street 2:STE 5360
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3937
Practice Address - Country:US
Practice Address - Phone:614-340-7747
Practice Address - Fax:614-340-7742
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2022-10-06
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Provider Licenses
StateLicense IDTaxonomies
OH350723172085R0202X
OH35.0723172085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2051265Medicaid
OH300135009OtherRR MEDICARE
OHG62615Medicare UPIN
OH2051265Medicaid
OH300135009OtherRR MEDICARE