Rida S Mazagri, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

21133 Issued in WV

Practice address

1600 Medical Center Drive
Suite B500
Huntington, WV 25701

Phone

(304) 691-1787

Fax

(304) 691-8711

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University Physicians & Surgeons, Inc

  • Internal Medicine Physician
  • Huntington, WV
  • NPI 1730183286
  Medicare reassignment NPD
• University Physicians & Surgeons, Inc.

  • Health & Wellness Coach
  • Louisa, KY
  • NPI 1073256665
  NPD
• Neurological Associates, Inc.

  • Neurological Surgery Physician
  • Charleston, WV
  • NPI 1841256849
  NPD (past)
• Tri State Neuroscience Center Inc

  • Neurological Surgery Physician
  • Huntington, WV
  • NPI 1609962067
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1003900051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DRIVE",
            "address_2": "SUITE B500",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25701",
            "telephone_number": "304-691-1787",
            "fax_number": "304-691-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DRIVE",
            "address_2": "SUITE B500",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25701",
            "telephone_number": "304-691-1787",
            "fax_number": "304-691-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZAGRI",
        "first_name": "RIDA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WV",
            "license": "21133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64068406",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2004750000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2406471",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Mays
• Harold Mays
• Michelle Mays
• Alicia Mayse
• Heather Leigh Mayville, CNM
• Emma C McAdoo, BCBA
• John Kennedy McAtee
• John Henry McAulay III, PSY.D.
• Corey Rae McBrayer, D.O. MPH CPPS
• Elysia Dawn McCaffrey

• Neurological Surgery Physician in Huntington, WV
• Providers in Huntington, WV by specialty
• Neurological Surgery Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.