Provider Demographics
NPI:1306875182
Name:MCGANN, THOMAS ROSS (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ROSS
Last Name:MCGANN
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 1:45 MONUMENT RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-5070
Mailing Address - Country:US
Mailing Address - Phone:717-851-6588
Mailing Address - Fax:
Practice Address - Street 1:45 MONUMENT RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5070
Practice Address - Country:US
Practice Address - Phone:717-851-6588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD027801E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA80755OtherUNISON-WMG
PA5779045OtherAETNA
PA1142375OtherAMERIHEALTH MERCY-WMG
PA18366OtherGEISINGER
PA233303OtherMAMSI-WMG
MD543229OtherCAREFIRST MD BCBS
PA000960349Medicaid
PA0025253000OtherAMERIHEALTH 65 PA
PA01069101OtherCAPITAL BLUE CROSS-WMG
PA077156OtherHIGHMARK BLUE SHIELD
PA030034OtherJOHNS HOPKINS
PAP002838OtherGATEWAY-WMG
PAP002838OtherGATEWAY-WMG
PA01069101OtherCAPITAL BLUE CROSS-WMG
PA077156OtherHIGHMARK BLUE SHIELD