Robert Nils Magnuson

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

41927 Issued in CO

Practice address

225 South Union Blvd
Peak Vista Community Health Centers
Colorado Springs, CO 80910-3195

Phone

(719) 632-5700

Fax

(719) 344-3878

NPI assigned

Apr 26, 2006

Last updated

Dec 23, 2010By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Hamilton County Hospital

  • Rural Health Clinic/Center
  • Syracuse, KS
  • NPI 1467624981
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293062400000",
    "number": "1043276074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 SOUTH UNION BLVD",
            "address_2": "PEAK VISTA COMMUNITY HEALTH CENTERS FAMILY CARE CLINIC",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103195",
            "telephone_number": "719-344-6440",
            "fax_number": "719-344-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 SOUTH UNION BLVD",
            "address_2": "PEAK VISTA COMMUNITY HEALTH CENTERS",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103195",
            "telephone_number": "719-632-5700",
            "fax_number": "719-344-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNUSON",
        "first_name": "ROBERT",
        "middle_name": "NILS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2010-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "41927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86485725",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Magic View, LLC
• Damon Magness
• Magnolia Home Health Agency
• Patricia Marie Magnus
• Kristin Magnuson, PMHNP-BC
• Sarah Magnuson, PTA
• Whitney Magowan, RN
• Sarah Louise Magraff
• Rameses Magtanong, MSN, RN, CNOR, CSSM
• Carissa Michelle Maguire, DDS

• Family Medicine Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; 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.