=====================================================
General NPI Number Information
=====================================================
NPI Number | 1316991581
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | J G MCGINNESS PROSTHETICS & ORTHOTICS INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/20/2006
-----------------------------------------------------
Last Update Date | 03/08/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1445 DEKALB ST
-----------------------------------------------------
City | NORRISTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19401-3405
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-278-1866
-----------------------------------------------------
Fax | 610-278-1889
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1445 DEKALB ST
-----------------------------------------------------
City | NORRISTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19401-3405
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-278-1866
-----------------------------------------------------
Fax | 610-278-1889
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. JAMES G. MCGINNESS
-----------------------------------------------------
Credential | CPO
-----------------------------------------------------
Telephone | 610-278-1866
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 335E00000X
-----------------------------------------------------
Taxonomy Name | Prosthetic/Orthotic Supplier
-----------------------------------------------------
License Number | 335E00000X
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------