Organization Active NPI

QSM-Ky, Inc

  • General Practice Physician
  • Hollywood, FL
National Provider Identifier
1114539202
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
QSM-KY, INC
Practice address
3800 S Ocean Dr
Ste 209
Hollywood, FL 33019-2915
Phone
(305) 466-9988
NPI assigned
Aug 19, 2020
Last updated
Aug 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Authorized official

Name
Steven Magilen, MDNPI 1568428266
Title
Ceo/President
Phone
(305) 466-9988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X NU
Emergency Medicine Physician 207P00000X NU
Surgery Physician 208600000X NU
General Practice Physician 208D00000X NU Primary
Physician Assistant 363A00000X NU
Medical Physician Assistant 363AM0700X NU
Family Nurse Practitioner 363LF0000X NU

Addresses

Primary practice location

3800 S Ocean Dr
Ste 209
Hollywood, FL 33019-2915

Mailing address

3800 S Ocean Dr
Ste 209
Hollywood, FL 33019-2915
Phone (305) 466-9988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210607002630 KY Part B Supplier - Clinic/Group Practice 5496155848 Receives reassigned benefits from 5 practitioners
Practice locations: Jamestown, KY; Salyersville, KY; Manchester, KY; Midway, KY; Mount Sterling, KY; Paducah, KY; Pikeville, KY; Radcliff, KY…

National Provider Directory

National Provider Directory

Locations

205 Roadrunner Blvd
La Fayette, GA 30728
Phone (706) 638-4662

945 W Russell St
Ste 209
Elkhorn City, KY 41522

200 Medical Center Dr
Harlan, KY 40831
Phone (606) 573-7250

3864 Sweeten Creek Rd
Arden, NC 28704
Phone (828) 676-2177

600 Barrett Ln
Asheville, NC 28803
Phone (828) 271-6946

2346 Barrington Cir
Fayetteville, NC 28303
Phone (704) 598-5031

104 College Dr
Ste 209
Flat Rock, NC 28731

2069 Lyon St
Gastonia, NC 28052

100 Sunset St
Ste 209
Granite Falls, NC 28630

2140 Medical Park Dr
Hickory, NC 28602
Phone (704) 636-1781

4010 Bridges St
Morehead City, NC 28557
Phone (252) 723-2436

228 Smith Chapel Rd
Mount Olive, NC 28365
Phone (919) 658-9522

635 Statesville Blvd
Salisbury, NC 28144
Phone (704) 633-7390

820 Klumac Rd
Salisbury, NC 28144
Phone (704) 603-2939

2379 Cypress Cir
Conway, SC 29526
Phone (413) 219-5530

Practitioners & affiliated clinicians

Practitioners 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1114539202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S OCEAN DR",
            "address_2": "STE 209",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192915",
            "telephone_number": "305-466-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S OCEAN DR",
            "address_2": "STE 209",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192915",
            "telephone_number": "305-466-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QSM-KY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "MAGILEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "305-466-9988",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.