NPIMap

Organization Active NPI

R. Lawrence Magruder, MD PLLC

  • Family Medicine Physician
  • Rockwall, TX
National Provider Identifier
1245400779
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G5325 Issued in TX
Legal business name
R. LAWRENCE MAGRUDER, MD PLLC
Practice address
6800 Heritage Pkwy
Suite 102
Rockwall, TX 75087-8746
Phone
(972) 463-2991
Fax
(942) 463-2997
NPI assigned
Mar 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Dr. Robert Lawrence Magruder, MDNPI 1528035698
Title
Owner
Phone
(972) 463-2991

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G5325 TX Primary

Addresses

Primary practice location

6800 Heritage Pkwy
Suite 102
Rockwall, TX 75087-8746

Mailing address

6800 Heritage Pkwy
Suite 102
Rockwall, TX 75087-8746
Phone (972) 463-2991

Other identifiers 2

IdentifierTypeStateIssuer
00980WOtherTXPTAM
100200MedicaidTX

Other names 1

  • Lakeside Family Practice Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1245400779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 HERITAGE PKWY",
            "address_2": "SUITE 102",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750878746",
            "telephone_number": "972-463-2991",
            "fax_number": "942-463-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 HERITAGE PKWY",
            "address_2": "SUITE 102",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750878746",
            "telephone_number": "972-463-2991",
            "fax_number": "942-463-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. LAWRENCE MAGRUDER, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "MAGRUDER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-463-2991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G5325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAM",
            "identifier": "00980W",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100200",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Family Practice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.