Organization Active NPI

Michael O. Magan MD PA

  • Gynecology Physician
  • Towson, MD
National Provider Identifier
1023330792
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
D0012429 Issued in MD
Legal business name
MICHAEL O. MAGAN MD PA
Practice address
120 Sister Pierre Dr
Suite 303
Towson, MD 21204-7516
Phone
(410) 337-9003
Fax
(410) 337-9005
NPI assigned
Feb 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Authorized official

Name
Dr. Michael Oswald Magan, M.D.
Title
President
Phone
(410) 337-9003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X D0012429 MD Primary

Addresses

Primary practice location

120 Sister Pierre Dr
Suite 303
Towson, MD 21204-7516

Mailing address

120 Sister Pierre Dr
Suite 303
Towson, MD 21204-7516
Phone (410) 337-9003

Other identifiers 1

IdentifierTypeStateIssuer
05225-1100MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1023330792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SISTER PIERRE DR",
            "address_2": "SUITE 303",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047516",
            "telephone_number": "410-337-9003",
            "fax_number": "410-337-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SISTER PIERRE DR",
            "address_2": "SUITE 303",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047516",
            "telephone_number": "410-337-9003",
            "fax_number": "410-337-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL O. MAGAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "MAGAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "OSWALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-337-9003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MD",
            "license": "D0012429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05225-1100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.