Michael Raynard Magoon, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

J4899 Issued in TX

Practice address

6104 Broadway Ste C-1
San Antonio, TX 78209-4553

Phone

(210) 756-0800

Fax

(210) 756-0900

NPI assigned

Mar 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 13, 2024 through Dec 13, 2026

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.

• Magoon Private Clinic, PLLC

  • General Practice Physician
  • Alamo Heights, TX
  • NPI 1669291845
  NPD Authorized official
• 2013 Broadway Emergency Care LLC

  • Emergency Care Clinic/Center
  • San Antonio, TX
  • NPI 1770093643
  NPD (past)
• Complete Emergency Care la Vernia LLC

  • Emergency Care Clinic/Center
  • La Vernia, TX
  • NPI 1568835569
  NPD (past)
• La Vernia Erl Acquisition Partners LLC

  • Emergency Care Clinic/Center
  • La Vernia, TX
  • NPI 1225825946
  NPD (past)
• San Angelo Emergency Physicians

  • Emergency Medicine Physician
  • San Angelo, TX
  • NPI 1134177975
  NPD (past)
• Cabarrus Emergency Medicine Associates, P.a.

  • Emergency Medicine Physician
  • Concord, NC
  • NPI 1457309221
  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1073572780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8107 PRINCESS CT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092253",
            "telephone_number": "210-862-6064",
            "fax_number": "210-756-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6104 BROADWAY STE C-1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782094553",
            "telephone_number": "210-756-0800",
            "fax_number": "210-756-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGOON",
        "first_name": "MICHAEL",
        "middle_name": "RAYNARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J4899",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "J4899",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CR994",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Magno Solutions LLC
• Magnolia Medical & Aesthetics
• Magnolia Women'S Care, P.L.L.C.
• Alexa Patricia Magnon, CPHT
• Robert Jay Magnon, M.D.
• Chenoa Magott
• Garry W Magpily, FNP-BC
• Marissa Magramo
• Gabriel A Magraner, MD
• Kori Francine Magsam

• Emergency Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.