Mago Medical Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

42851-020 Issued in WI

Legal business name

MAGO MEDICAL INC

Practice address

573 W Lincoln Ave
Milwaukee, WI 53207-1141

Phone

(414) 385-9801

Fax

(414) 385-9803

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Glenn Olaciregui, M.D.

Title

Owner/Doctor

Phone

(414) 385-9801

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lincoln Health Center Doing business as

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376640342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11430",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532110430",
            "telephone_number": "414-962-9070",
            "fax_number": "414-962-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 W LINCOLN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532071141",
            "telephone_number": "414-385-9801",
            "fax_number": "414-385-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGO MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLACIREGUI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "414-385-9801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "42851-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21285500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick J Maglio, PTA
• Kristin Janna Magliocco, MD
• Kristin K Magner, APNP
• Magnitude Behavioral Services, LLC
• Jared Magnuson
• Ann M Maguire, MD
• Sharon B Maguire
• Jennifer J. Mahaffey, PA-C
• Yaman Mahairi
• Anshul Mahajan, D.D.S

• Internal Medicine Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Internal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.