JOHN M MCILDUFF M.D. NPI 1548231004

NPI Information

NPI: 1548231004
Provider Name: JOHN M MCILDUFF, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Address:
5020 W BRISTOL RD
FLINT, MI
ZIP 48507
Phone: (810) 732-1620
Get Directions

John M Mcilduff, M.D. is a vascular surgery surgery in Flint, MI. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. John M Mcilduff, M.D. NPI is 1548231004. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5020 W BRISTOL RD
FLINT, MI
ZIP 48507-919
Phone: (810) 732-1620
Fax: (810) 732-8559

The enumeration date for this NPI number is 1/31/2006 and was last updated on 11/27/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	JM045495	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	105269	OTHER	MICHIGAN	PREFERRED CHOICE PPO
2	B43079	MEDICARE UPIN	MICHIGAN
3	105269	OTHER	MICHIGAN	CARE CHOICE HMO
4	0202508141	OTHER	MICHIGAN	BC/BS OF MICHIGAN
5	C3731	OTHER	MICHIGAN	M-CARE
6	204105	OTHER	MICHIGAN	MCLAREN HEALTH PLAN/ADVAN
7	4294624	OTHER	MICHIGAN	AETNA
8	B43079	OTHER	MICHIGAN	HEALTH ALLIANCE PLAN
9	B56060003	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
10	113646	OTHER	MICHIGAN	GREAT LAKE HEALTH PLAN
11	1430955	MEDICAID	MICHIGAN
12	382237803109	OTHER	MICHIGAN	COMMUNITY CHOICE
13	0108141	OTHER	MICHIGAN	HEALTHPLUS OF MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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