Magus Pediatric Cardiology, PA

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

A45576 Issued in TX

Legal business name

MAGUS PEDIATRIC CARDIOLOGY, PA

Practice address

648 W Campbell Rd
Suite B
Richardson, TX 75080-3300

Phone

(972) 238-5437

Fax

(972) 238-5434

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Andrew D Fryer, MD

Title

Owner

Phone

(972) 238-5437

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1356468490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740127",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753740127",
            "telephone_number": "972-238-5437",
            "fax_number": "972-238-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 W CAMPBELL RD",
            "address_2": "SUITE B",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803300",
            "telephone_number": "972-238-5437",
            "fax_number": "972-238-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGUS PEDIATRIC CARDIOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "FRYER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-238-5437",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "A45576",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "A45576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095042001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madsen Orthopaedics
• Madsen Orthopedics
• Terry Douglas Madsen, M.D.
• Mitchell J. Magee, M.D.
• Virginia H. Magliolo, LPC
• Tyler Cody Mahan, CNIM
• Micah Mahaney
• Diana M Mahbod, MD
• Lamia Mahmud, PHARM D
• Noel E Mairena, D.C

• Pediatric Cardiology Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Pediatric Cardiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.