MEDICARE: DR. DAVID EARL MCMAHON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	35063725	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033174339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID EARL MCMAHON M.D.

Provider Business Mailing Address
First Line	:	PO BOX 7527
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43017-0727
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4191 KELNOR DR STE 300
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-3990
Country	:	US
Telephone Number	:	614-875-6349
Fax Number	:	614-875-3633

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	09/30/2025

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