Provider Demographics
NPI:1447288105
Name:MCGILL, JAMES E (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:MCGILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4460
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-0460
Mailing Address - Country:US
Mailing Address - Phone:866-491-5807
Mailing Address - Fax:913-491-0411
Practice Address - Street 1:7500 MERCY DR
Practice Address - Street 2:ALEGENT BERGAN MERCY HOSPITAL-DEPT OF RADIOLOGY
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124
Practice Address - Country:US
Practice Address - Phone:402-398-6198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA172022085R0202X
NE112192085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1600114OtherUHC SHARE ALLIANCE
1600526OtherUHC SHARE ALLIANCE
IABM6851934OtherIA CONTROLLED SUBSTANCE
IA19060OtherBCBS
IA1944553Medicaid
IA6944553Medicaid
NE02745OtherBCBS
11023OtherMIDLANDS
IA7944553Medicaid
IA8944553Medicaid
IA5944553Medicaid
IA5944553Medicaid
IA8944553Medicaid
1600114OtherUHC SHARE ALLIANCE
D09057Medicare UPIN
IA5944553Medicaid
NE02745OtherBCBS
IA19060Medicare PIN
NENA1356023Medicare PIN