JAMES FREDERICK MCGUCKIN JR. (NPI# 1760441760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760441760 |
| Entity Type | Individual |
| Full Name | JAMES FREDERICK MCGUCKIN JR. |
| Credential | MD |
| Practice Address |
2929 Arch Street Suite 1705 Philadelphia PA 19104-2866 |
| Mailing Address |
Po Box 38574 Philadelphia PA 19104-8574 |
| Practice Telephone | 2153823680 |
| Practice Fax Number | 2152401677 |
| Mailing Telephone | 2153823680 |
| Mailing Fax Number | 2152401677 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2020-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD0000043118 | TN | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD418485 | PA | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD.202013 | LA | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
D62353 | MD | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
25MA05182900 | NJ | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD050322L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | RR MEDICARE | P00431753 | 01 |
| PA | 0018439730003 | 05 | |
| NJ | 7012306 | 05 |
| Street Address |
2929 ARCH STREET SUITE 1705 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-2866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053950238 | Shakira Waller | Home Health | 2929 Arch Street, Philadelphia, PA 19104 | 2020-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184854531 | John Yoon | Radiology | 9 N 9th St Unit 510, Philadelphia, PA 19107-3154 | 2009-07-20 |
| 1144423096 | Jonathan Ira Lieberman | Radiology | 1016 Chestnut St, Thomas Jefferson University Hospital, Philadelphia, PA 19107-5010 | 2007-06-07 |
| 1336188945 | David R. Hertzog | Radiology | 2412 W Passyunk Ave, Philadelphia, PA 19145-4114 | 2006-06-06 |
| 1588639819 | American Access Care of Sp LLC | Radiology | 2412-14 West Passyunk Ave., Philadelphia, PA 19145-4114 | 2006-02-21 |
| 1104816453 | Huynh Doan | Radiology | Broad & Vine St, Philadelphia, PA 19102 | 2005-10-27 |
| 1174513105 | Mark Hysell | Radiology | Broad & Vine St S, Philadelphia, PA 19102 | 2005-10-21 |
| 1699774257 | Image Guided Surgery Associates, PC | Radiology | 5735 Ridge Ave, Ste 106, Philadelphia, PA 19128-1745 | 2005-07-17 |
| 1033753405 | Stc Pediatrics LLC | Radiology | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-29 |
| 1033670153 | Jung Hyun Yun | Radiology | 5501 Old York Road, Philadelphia, PA 19141 | 2019-03-29 |
| 1720561186 | Temple Faculty Practice Plan, Inc | Radiology | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-12 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.