Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 35073417M | OH |
Y | 208600000X | Surgeon | 35073417M | OH |
NPI | 1013956861 |
---|---|
Provider Name | James A Mcelroy |
First Address | Marietta, OH 45750-0449 |
Second Address | Marietta, OH 45750-1662 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 13/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000490580 | ANTHEM (01) | OH |
000000696938 | ANTHEM (01) | OH |
1000127000 | (05) | WV |
2206348 | (05) | OH |
H27729 | (02) | |
P00475910 | RRMCR (01) | OH |