Provider Demographics
NPI:1053394023
Name:MCGHEE, GEORGE PATRICK (MD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:PATRICK
Last Name:MCGHEE
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 1:6501 HILLVIEW DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:IN
Mailing Address - Zip Code:47111-8967
Mailing Address - Country:US
Mailing Address - Phone:812-256-0437
Mailing Address - Fax:812-256-6893
Practice Address - Street 1:935 WATER ST
Practice Address - Street 2:
Practice Address - City:CHARLESTOWN
Practice Address - State:IN
Practice Address - Zip Code:47111-1430
Practice Address - Country:US
Practice Address - Phone:812-256-3381
Practice Address - Fax:812-256-6893
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01056332A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200367230AMedicaid
IN011760461OtherRAILROAD MEDICARE ID#
IN351516588OtherTAX ID
IN000000246515OtherANTHEM PIN
IN140407OtherCRIPPLED CHILDREN ID
IN011760461OtherMETRA HEALTH RAILROAD
255220OtherMEDICARE GROUP NUMBER
IN200367230AMedicaid
IN255220BMedicare PIN