Mage Medicine, P.L.L.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MAGE MEDICINE, P.L.L.C.

Practice address

5938 US Highway 93 S
Whitefish, MT 59937-8415

Phone

(406) 863-9300

Fax

(402) 337-8898

NPI assigned

Dec 6, 2023

Organization subpart

No

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

Authorized official

Name

Keyna Schlup, MD

Title

Owner

Phone

(406) 212-4523

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1104693571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1735",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599121735",
            "telephone_number": "406-212-4523",
            "fax_number": "402-337-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5938 US HIGHWAY 93 S",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599378415",
            "telephone_number": "406-863-9300",
            "fax_number": "402-337-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGE MEDICINE, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "SCHLUP",
        "authorized_official_first_name": "KEYNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-212-4523",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan P Lutz, DPT
• Nicole Smyth Macaluso, PT
• Justin Mackenzie, PHARM D.
• James Madison, L.AC.
• Marianne Theresa Madler, MD
• Ashleigh Marie Magill, M.D.
• Kevin Maher
• David Joseph Mahoney, PHD
• Manual Orthopedic & Sports Therapy
• Katie Mattingley, MS, CCC-SLP

• Family Medicine Physician in Whitefish, MT
• Providers in Whitefish, MT by specialty
• Family Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.