Ronald Paul Mageau, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

2010-00104 Issued in NC

Practice address

1899 Eider CT
Tallahassee, FL 32308-4537

Phone

(850) 878-5143

Fax

(850) 942-6622

NPI assigned

Jul 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Pathology

Education

University of Maryland School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ketchum Wood and Burgert Chartered DRS Ketchum Wood and BurgertGroup PAC ID 4082708755, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tallahassee Memorial Healthcare Hospital, Tallahassee, FL, CCN 100135
• Jackson Hospital Hospital, Marianna, FL, CCN 100142
• Doctors Memorial Hospital Inc Hospital, Perry, FL, CCN 101314

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ketchum Wood & Burgert Chartered DRS Ketchum Wood & Burgert

  • Anatomic Pathology & Clinical Pathology Physician
  • Tallahassee, FL
  • NPI 1821060898
  Medicare reassignment Care Compare group NPD
• East Carolina University

  dba ECU Physicians

  • Family Medicine Physician
  • Greenville, NC
  • NPI 1972551919
  Medicare reassignment NPD
• Ketchum Wood & Burgert Chartered DRS Ketchum Wood & Burgert

  • Clinical Medical Laboratory
  • Tallahassee, FL
  • NPI 1558335869
  NPD
• East Carolina University

  • Internal Medicine Physician
  • Greenville, NC
  • NPI 1043260474

  Anatomic Pathology & Clinical Pathology

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Doctors Memorial Hospital Inc

  • Critical Access Hospital
  • Perry, FL
  • NPI 1427092006
  Care Compare affiliation
• Jackson County Hospital District

  • General Acute Care Hospital
  • Marianna, FL
  • NPI 1538108725
  Care Compare affiliation
• Tallahassee Memorial Healthcare Inc

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1437177664
  Care Compare affiliation

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1346440690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1899 EIDER CT",
            "address_2": "KWB PATHOLOGY ASSOCIATES",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 EIDER CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084537",
            "telephone_number": "850-878-5143",
            "fax_number": "850-942-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGEAU",
        "first_name": "RONALD",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "2010-00104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5915196",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "158U0",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1504Q",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles H Madsen Jr., PHD
• Jordan Ashleigh Madsen
• Kathryn Ann Madsen, LCSW
• Nicholas Daniel Madsen, ARNP
• Sitka Madsen, PH.D., CCC-SLP
• Lani Michelle Magee, LCSW
• Magnolia Pediatrics Group LLC
• Magnolia Pediatrics Group, LLC
• Magnolia Wellness Center, LLC
• Amy Foster Magnuson, PHD

• Anatomic Pathology & Clinical Pathology Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.