Active NPI
John-Michael McGaugh, DO
- Family Medicine Physician
- Irvine, KY
National Provider Identifier
1457795189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 04166
- Practice address
- 30 Stacy Lane Rd
Irvine, KY 40336-7356 - Phone
- (606) 723-0665
- Fax
- (606) 723-0680
- NPI assigned
- Apr 24, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04166 | KY | Primary |
Addresses
Primary practice location
30 Stacy Lane Rd
Irvine, KY 40336-7356
Mailing address
1010 Main Street South
McKee, KY 40447-7089
Phone (859) 626-7700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prowers County Hospital District | Current | Accepting new patients |
Locations
401 Kendall Dr
Lamar, CO 81052
Phone (719) 336-4343
Organizations & group practices 1
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.
-
- Critical Access Hospital
- Lamar, CO
- NPI 1821052929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499040000000",
"number": "1457795189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 MAIN STREET SOUTH",
"city": "MCKEE",
"state": "KY",
"postal_code": "404477089",
"telephone_number": "859-626-7700",
"fax_number": "859-626-7890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 STACY LANE RD",
"city": "IRVINE",
"state": "KY",
"postal_code": "403367356",
"telephone_number": "606-723-0665",
"fax_number": "606-723-0680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGAUGH",
"first_name": "JOHN-MICHAEL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-24",
"last_updated": "2017-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "04166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.