Active NPI
Karen C Magowan, PA
- Surgical Physician Assistant
- Novi, MI
National Provider Identifier
1245224161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 5601005688
- Practice address
- 47601 Grand River Ave
Novi, MI 48374-1233 - Phone
- (248) 465-3157
- Fax
- (248) 465-3784
- NPI assigned
- Sep 7, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 5601005688 | MI | Primary |
Addresses
Primary practice location
47601 Grand River Ave
Novi, MI 48374-1233
Mailing address
47601 Grand River Ave
Novi, MI 48374-1233
Phone (248) 465-3157
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200107998 | Other | AETNA PPO | |
| 200107998 | Other | AETNA HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601005688 | MI | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark OB Peeler MD PA | Past | Accepting new patients | |
| Mark OB Peeler MD PA | Past | Accepting new patients |
Interoperability endpoints
- kmagowan1139845@direct.hfhs.org
Organizations & group practices 2
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.
-
- Surgery Physician
- Annapolis, MD
- NPI 1225006919
-
- Vascular Surgery Physician
- Chester, MD
- NPI 1700113032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451952000000",
"number": "1245224161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47601 GRAND RIVER AVE",
"city": "NOVI",
"state": "MI",
"postal_code": "483741233",
"telephone_number": "248-465-3157",
"fax_number": "248-465-3784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47601 GRAND RIVER AVE",
"city": "NOVI",
"state": "MI",
"postal_code": "483741233",
"telephone_number": "248-465-3157",
"fax_number": "248-465-3784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGOWAN",
"first_name": "KAREN",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-07",
"last_updated": "2016-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MI",
"license": "5601005688",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "200107998",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "200107998",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.