Patrick C Maginn, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD0000193Z5 Issued in WA

Practice address

625 9TH Ave
Suite 120
Longview, WA 98632-2464

Phone

(360) 425-3720

Fax

(360) 425-0090

NPI assigned

Jul 8, 2005

Reactivated

Mar 21, 2006

Last updated

Oct 22, 2007By 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Longview Urology PLLC

  • Urology Physician
  • Longview, WA
  • NPI 1730187766
  NPD (past)

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1063410512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 9TH AVE",
            "address_2": "SUITE 120",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322464",
            "telephone_number": "360-425-3720",
            "fax_number": "360-425-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 9TH AVE",
            "address_2": "SUITE 120",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322464",
            "telephone_number": "360-425-3720",
            "fax_number": "360-425-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGINN",
        "first_name": "PATRICK",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2007-10-22",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WA",
            "license": "MD0000193Z5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1819002",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "115655",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emme Mackey, BS, R-AAC
• Hannah Mackintosh
• Lizett Maclaurin
• Linda P. Madrigal, MS, DMHP
• Madugula PLLC (Aspen Dental)
• Maria P. Magnuson, ARNP
• Seanna Eileen Mahaney, MA
• Brian Edward Mahon, PA
• Catherine Anne Mahon, PA
• Makael White PLLC (Sirona & Sage Healing)

• Urology Physician in Longview, WA
• Providers in Longview, WA by specialty
• Urology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.