Provider Demographics
NPI:1316918980
Name:MCGINNIS, DAVID E (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:E
Last Name:MCGINNIS
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 1:10753 FALLS RD
Mailing Address - Street 2:SUITE 225
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-4535
Mailing Address - Country:US
Mailing Address - Phone:410-583-2848
Mailing Address - Fax:410-583-2841
Practice Address - Street 1:10753 FALLS RD
Practice Address - Street 2:SUITE 225
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-4535
Practice Address - Country:US
Practice Address - Phone:410-583-2848
Practice Address - Fax:410-583-2841
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDG11238174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD54256004OtherBCBS MD PROVIDER #
MDT6320003OtherBCBS FEDERAL PROV. #
MD660002745OtherTRAVELERS RR MEDICARE
MD021650OtherJOHNS HOPKINS EHP PROV #
MDG11238Medicare UPIN