Individual provider Active NPI

John-Michael McGaugh, DO

  • Family Medicine Physician
  • Irvine, KY
National Provider Identifier
1457795189
Registry record updated Jul 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04166 Issued in KY
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

Updated by the provider on Jul 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240418000001 CO Practitioner - Family PracticePractitioner - Hospitalist 4183932049 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Prowers County Hospital District CurrentSince Mar 4, 2024 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.

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

Verify at the official NPI Registry.