Provider Demographics
NPI:1386694073
Name:GINN, DAVID C (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:C
Last Name:GINN
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:PO BOX 7564
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42002-7564
Mailing Address - Country:US
Mailing Address - Phone:270-554-0011
Mailing Address - Fax:270-554-6540
Practice Address - Street 1:100 KIANA CT
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42001-6787
Practice Address - Country:US
Practice Address - Phone:270-554-0011
Practice Address - Fax:270-554-6540
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000019543207RH0003X
KY26367207RH0003X
ILIL036-07860207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN000000152786OtherUNISON HEALTH PLAN MEDICARE ADVANTAGE
KY64263676Medicaid
KYE07401OtherBLUEGRASS FAMILY HEALTH
TN4079574OtherBCBS OF TN
TN9530OtherTLC - FAMILYCAREHLTHPLAN
KY052584OtherHEALTH ALLIANCE
KY000000331513OtherANTHEM BCBS KY
KY2966OtherCHA
020248399OtherDEPT OF LABOR
KY0910602OtherUMWA
KY238601OtherHEALTHLINK
TN3048102Medicaid
KY052584OtherHEALTH ALLIANCE
KYE07401OtherBLUEGRASS FAMILY HEALTH
KY000000331513OtherANTHEM BCBS KY
TN4079574OtherBCBS OF TN
TN3048102Medicare PIN