Active NPI
Charles B. Magich Jr., CRNA
- Certified Registered Nurse Anesthetist
- Coral Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN11002490
- Practice address
- 3001 Coral Springs Drive
Ste 200
Coral Springs, FL 33065-4172 - Phone
- (954) 837-1201
- Fax
- (954) 752-1660
- NPI assigned
- Aug 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R108865 | MD | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN11002490 | FL | Primary |
Addresses
Primary practice location
3001 Coral Springs Drive
Ste 200
Coral Springs, FL 33065-4172
Mailing address
PO Box 64795
Baltimore, MD 21264-4795
Phone (410) 328-6704
Other practice location 1
201 E Sample Rd
Deerfield Beach, FL 33064-3502
Phone (954) 485-5666
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104763500 | Medicaid | FL | |
| 213307500 | Medicaid | MD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | credentialing@gastrohealth.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3001 Coral Springs Dr
Coral Springs, FL 33065-3829
Phone (954) 837-1201
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11002490 | FL | MD | Certified Registered Nurse Anesthetist |
| R108865 | MD | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galloway Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesco North Broward LLC | Current | Accepting new patients | |
| Galloway Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400
3601 W Commercial Blvd
Ste 5
Ft Lauderdale, FL 33309
Phone (954) 485-2002
3601 W Commercial Blvd
Ste 4
Ft Lauderdale, FL 33309
9415 SW 72nd St
Ste 274
Miami, FL 33173
Phone (305) 468-4184
7600 SW 87th Ave
Ste 100
Miami, FL 33173
Phone (786) 235-3750
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Miami, FL
- NPI 1689989139
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fort Lauderdale, FL
- NPI 1699763862
-
- Certified Registered Nurse Anesthetist
- Palm Beach Gardens, FL
- NPI 1316626450
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648166400000",
"number": "1346259470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64795",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644795",
"telephone_number": "410-328-6704",
"fax_number": "410-328-4124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 CORAL SPRINGS DRIVE",
"address_2": "STE 200",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330654172",
"telephone_number": "954-837-1201",
"fax_number": "954-752-1660"
}
],
"practiceLocations": [
{
"address_1": "201 E Sample Rd",
"address_purpose": "LOCATION",
"city": "Deerfield Beach",
"state": "FL",
"postal_code": "330643502",
"country_code": "US",
"telephone_number": "954-485-5666",
"fax_number": "954-484-1651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAGICH",
"first_name": "CHARLES",
"middle_name": "B.",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2022-03-25",
"certification_date": "2022-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "R108865",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11002490",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104763500",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "213307500",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "credentialing@gastrohealth.com",
"affiliation": "N",
"endpointDescription": "credentialing email address for Charles Magich",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Email",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "3001 Coral Springs Drive",
"address_2": "Ste 200",
"city": "Coral Springs",
"state": "FL",
"country_code": "US",
"postal_code": "330654172",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.