Provider Demographics
NPI:1326471194
Name:MCGINNIS, GWENDOLYN JOYCE (MD, MCR)
Entity type:Individual
Prefix:DR
First Name:GWENDOLYN
Middle Name:JOYCE
Last Name:MCGINNIS
Suffix:
Gender:F
Credentials:MD, MCR
Other - Prefix:DR
Other - First Name:WENDY
Other - Middle Name:
Other - Last Name:MCGINNIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:8820 HURON ST
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80260-6805
Mailing Address - Country:US
Mailing Address - Phone:033-867-6583
Mailing Address - Fax:
Practice Address - Street 1:8820 HURON ST
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80260-6805
Practice Address - Country:US
Practice Address - Phone:303-386-7658
Practice Address - Fax:303-487-9350
Is Sole Proprietor?:No
Enumeration Date:2013-08-15
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD2146172085R0001X
CODR.00750422085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500822996Medicaid