MEDICARE: MICHAEL A MCGHEE 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	207Y00000X	Otolaryngology Physician	C8454	AR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	040013831	OTHER	AR	RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1124001953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL A MCGHEE M.D.

Provider Business Mailing Address
First Line	:	10201 KANIS RD
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-6203
Country	:	US
Telephone Number	:	501-227-5050
Fax Number	:	501-227-5151

Provider Business Practice Location Address
First Line	:	2305 SPRINGHILL RD
Second Line	:	SUITE 8
City	:	BRYANT
State	:	AR
Zip	:	72019-7552
Country	:	US
Telephone Number	:	501-943-3214
Fax Number	:	501-943-3219

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

Provider Enumeration Date	:	11/25/2005
Last Update Date	:	05/27/2010

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