NPIMap

Organization Active NPI

Mag Medical

  • Sleep Disorder Diagnostic Clinic/Center
  • Bonnyman, KY
National Provider Identifier
1255676094
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
MAG MEDICAL
Practice address
30 Old Mill Ridge HL
Bonnyman, KY 41719-8841
Phone
(606) 216-3784
NPI assigned
Dec 5, 2012
Last updated
Dec 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Authorized official

Name
Paula Fields, NP
Title
Co Owner
Phone
(606) 216-3784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

30 Old Mill Ridge HL
Bonnyman, KY 41719-8841

Mailing address

30 Old Mill Ridge HL
Bonnyman, KY 41719-8841

National Provider Directory

National Provider Directory
Tax ID family
Mag Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1255676094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 OLD MILL RIDGE HL",
            "city": "BONNYMAN",
            "state": "KY",
            "postal_code": "417198841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 OLD MILL RIDGE HL",
            "city": "BONNYMAN",
            "state": "KY",
            "postal_code": "417198841",
            "telephone_number": "606-216-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAG MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "606-216-3784",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonnyman, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.