Active NPI
Martin E McGonagle MD PA
- Hearing Aid Equipment
- Stephenville, TX
National Provider Identifier
1417151986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Aid Equipment
- Legal business name
- MARTIN E MCGONAGLE MD PA
- Practice address
- 763 N Graham St
Stephenville, TX 76401-3148 - Phone
- (254) 965-4944
- Fax
- (254) 965-5373
- NPI assigned
- Jun 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Martin E. McGonagle, MD, PA
- Title
- Owner
- Phone
- (254) 965-7870
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Aid Equipment | 332S00000X | TX | Primary |
Addresses
Primary practice location
763 N Graham St
Stephenville, TX 76401-3148
Mailing address
763 N Graham St
Stephenville, TX 76401-3148
Phone (254) 965-4944
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 531478 | Other | TX | BCBS |
| 126628005 | Medicaid | TX | |
| 00K94W | Other | TX | MEDICARE ID |
Other names 1
- Mid-Tex Hearing Center
National Provider Directory
National Provider Directory- Tax ID family
- Martin E McGonagle MD PA
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Hearing Aid Equipment
- Brownwood, TX
- NPI 1144355892
-
- Hearing Aid Equipment
- Granbury, TX
- NPI 1942404181
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Stephenville, TX
- NPI 1871698308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214784000000",
"number": "1417151986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "763 N GRAHAM ST",
"city": "STEPHENVILLE",
"state": "TX",
"postal_code": "764013148",
"telephone_number": "254-965-4944",
"fax_number": "254-965-5373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "763 N GRAHAM ST",
"city": "STEPHENVILLE",
"state": "TX",
"postal_code": "764013148",
"telephone_number": "254-965-4944",
"fax_number": "254-965-5373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTIN E MCGONAGLE MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-11",
"last_updated": "2008-06-30",
"status": "A",
"authorized_official_last_name": "MCGONAGLE",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "254-965-7870",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, PA"
},
"taxonomies": [
{
"code": "332S00000X",
"taxonomy_group": "",
"desc": "Hearing Aid Equipment",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "531478",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126628005",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "00K94W",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mid-Tex Hearing Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stephenville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.