Basic Information
| Provider Information | |||||||||
| NPI: | 1386694073 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GINN | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | C | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 7564 | ||||||||
| Address2: | |||||||||
| City: | PADUCAH | ||||||||
| State: | KY | ||||||||
| PostalCode: | 420027564 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2705540011 | ||||||||
| FaxNumber: | 2705546540 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 KIANA CT | ||||||||
| Address2: | |||||||||
| City: | PADUCAH | ||||||||
| State: | KY | ||||||||
| PostalCode: | 420016787 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2705540011 | ||||||||
| FaxNumber: | 2705546540 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/11/2006 | ||||||||
| LastUpdateDate: | 06/04/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0003X | MD0000019543 | TN | N | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology | 207RH0003X | 26367 | KY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology | 207RH0003X | IL036-07860 | IL | N | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
ID Information
| ID | Type | State | Issuer | Description | 000000152786 | 01 | TN | UNISON HEALTH PLAN MEDICARE ADVANTAGE | OTHER | 64263676 | 05 | KY | MEDICAID | E07401 | 01 | KY | BLUEGRASS FAMILY HEALTH | OTHER | 4079574 | 01 | TN | BCBS OF TN | OTHER | 9530 | 01 | TN | TLC - FAMILYCAREHLTHPLAN | OTHER | 052584 | 01 | KY | HEALTH ALLIANCE | OTHER | 000000331513 | 01 | KY | ANTHEM BCBS KY | OTHER | 2966 | 01 | KY | CHA | OTHER | 020248399 | 01 | DEPT OF LABOR | OTHER | 0910602 | 01 | KY | UMWA | OTHER | 238601 | 01 | KY | HEALTHLINK | OTHER | 3048102 | 05 | TN | MEDICAID |