Provider Demographics
NPI:1881859288
Name:JAMES W MCNEILIS M D LLC
Entity type:Organization
Organization Name:JAMES W MCNEILIS M D LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:MCNEILIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-389-3536
Mailing Address - Street 1:660 COOPER RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-8516
Mailing Address - Country:US
Mailing Address - Phone:614-389-3536
Mailing Address - Fax:614-392-2395
Practice Address - Street 1:660 COOPER RD
Practice Address - Street 2:SUITE 300
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-8516
Practice Address - Country:US
Practice Address - Phone:614-389-3536
Practice Address - Fax:614-392-2395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-24
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35087301207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty