Magnolia Networks LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MAGNOLIA NETWORKS LLC

Practice address

316 Station St
Suite 200
Bridgeville, PA 15017-1833

Phone

(412) 914-8484

Fax

(412) 914-8179

NPI assigned

Apr 1, 2016

Organization subpart

No

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

Authorized official

Name

Louis Hunter Farmer III

Title

Partner

Phone

(412) 914-8484

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juliet E Wynn, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Bridgeville, PA
  • NPI 1902233992
  Medicare reassignment NPD
• Scott Anthony Cook, MD

  • Family Medicine Physician
  • Monessen, PA
  • NPI 1841255296
  Medicare reassignment
• Dylan Deatrich, MD

  • Family Medicine Physician
  • Monroeville, PA
  • NPI 1023057858
  Medicare reassignment
• Magdalena Katarzyna Liebe, MD

  • Family Medicine Physician
  • Mars, PA
  • NPI 1588622427
  Medicare reassignment
• Jason Lukasewicz, DO

  • Family Medicine Physician
  • McMurray, PA
  • NPI 1578692612
  Medicare reassignment
• Victoria Lynn Matasy, MD

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1184612475
  Medicare reassignment
• David Wayne Morris, MD

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1487643862
  Medicare reassignment
• Charles Vaughn Strimlan, M.D.

  • Pulmonary Disease Physician
  • Pittsburgh, PA
  • NPI 1518074467
  Medicare reassignment
• Michael Ray Owens, M.D.

  • Internal Medicine Physician
  • Clayton, NC
  • NPI 1306874649
  NPD
• Tracey F Petrides, M.D.

  • Family Medicine Physician
  • Southaven, MS
  • NPI 1295927226
  NPD (past)

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1053774422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 STATION ST",
            "address_2": "SUITE 200",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171833",
            "telephone_number": "412-914-8484",
            "fax_number": "412-914-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 STATION ST",
            "address_2": "SUITE 200",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171833",
            "telephone_number": "412-914-8484",
            "fax_number": "412-914-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA NETWORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "HUNTER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "412-914-8484",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Lunn, DC
• Deborah Churchill Lynch
• Mary Macik
• Kristen Mackel, LCSW
• Kristin Mackenzie, PA-C
• Sandra J Malarkey
• Chloe Mantheiy
• Marigold Treatment Services
• Adam Louis Martik, D.M.D.
• Shashi B Marwah, M.D.

• Internal Medicine Physician in Bridgeville, PA
• Providers in Bridgeville, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.