Efrem Bolano Magtagnob, M.D.

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

MD454977 Issued in PA

Practice address

252 S 4TH St
Lebanon, PA 17042-6111

Phone

(717) 270-4876

Fax

(717) 270-3875

NPI assigned

Sep 8, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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.

Enrollment records 1

Specialty

HospitalistAlso: Internal Medicine

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellspan Good Samaritan Hospital Hospital, Lebanon, PA, CCN 390066

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: emagtagnob63370@wellspan.direct-ci.com

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.

• Wellspan Medical Group

  • Gastroenterology Physician
  • York, PA
  • NPI 1669770004

  PA, Single Specialty

  Medicare reassignment Care Compare group NPD
• Wellspan Medical Group

  • Podiatrist
  • Chambersburg, PA
  • NPI 1033897228
  Care Compare group
• Wellspan Medical Group

  • Pulmonary Disease Physician
  • York, PA
  • NPI 1073756672
  Care Compare group
• Wellspan Medical Group

  • Podiatrist
  • Greencastle, PA
  • NPI 1336827526
  Care Compare group
• Wellspan Medical Group

  • Podiatrist
  • Fayetteville, PA
  • NPI 1700567260
  Care Compare group
• Wellspan Medical Group

  • Urology Physician
  • Gettysburg, PA
  • NPI 1790195576
  Care Compare group
• Wellspan Medical Group

  • Neurology Physician
  • York, PA
  • NPI 1831251792
  Care Compare group
• Wellspan Medical Group

  • Diagnostic Radiology Physician
  • York, PA
  • NPI 1952587727
  Care Compare group
• Wellspan Medical Group

  • Family Medicine Physician
  • Thurmont, MD
  • NPI 1881762995
  Care Compare group
• Wellspan Medical Group

  • Pediatric Surgery Physician
  • York, PA
  • NPI 1104799428
  NPD
• Wellspan Medical Group

  • Neonatal-Perinatal Medicine Physician
  • York, PA
  • NPI 1174608913

  Single Specialty

  NPD
• The Good Samaritan Hospital of Lebanon, Pennsylvania

  • General Acute Care Hospital
  • Lebanon, PA
  • NPI 1407928500
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Good Samaritan Hospital of Lebanon, Pennsylvania

  • Ambulatory Surgical Clinic/Center
  • Lebanon, PA
  • NPI 1205902343

  Hospital

  Care Compare affiliation
• The Good Samaritan Hospital of Lebanon, Pennsylvania

  • General Acute Care Hospital
  • Lebanon, PA
  • NPI 1407928500

  Hospital

  Care Compare affiliation
• The Good Samaritan Hospital of Lebanon, Pennsylvania

  • Emergency Medicine Physician
  • Lebanon, PA
  • NPI 1730754284

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1073894788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 S 4TH ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170426111",
            "telephone_number": "717-270-4876",
            "fax_number": "717-270-3875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170465606",
            "country_code": "US",
            "telephone_number": "717-274-0474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Perri Ave",
            "address_purpose": "LOCATION",
            "city": "Myerstown",
            "state": "PA",
            "postal_code": "170673200",
            "country_code": "US",
            "telephone_number": "717-949-6581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGTAGNOB",
        "first_name": "EFREM",
        "middle_name": "BOLANO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-08",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0010089",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD454977",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "DE",
            "license": "C1-0010089",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "DE",
            "license": "C1-0010089",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD454977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duncan S. Maclean, MD
• Sivaramaiah Maddukuri, M.D
• Madhukar R Patel
• Honey Queen Magbago
• Elizabeth Magee
• Ramsha Mahmood, MD
• Pamela Theresa Maiello, LMFT
• Patricia Ann Maier, RPH
• Naba Raj Mainali, MD
• Emily Maisto, OT

• All providers in Lebanon, PA
• Hospitalist Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.