NPIMap

Individual provider Active NPI

Beth A Magnifico, DO

  • Internal Medicine Physician
  • Ellwood City, PA
National Provider Identifier
1548214901
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS007901L Issued in PA
Practice address
304 Evans Dr Ste 401
Ellwood City, PA 16117-1478
Phone
(724) 824-8185
Fax
(724) 824-8191
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X OS007901L PA
Internal Medicine Physician 207R00000X OS007901L PA Primary

Addresses

Primary practice location

304 Evans Dr Ste 401
Ellwood City, PA 16117-1478

Mailing address

100 Shenango Ave
Sharon, PA 16146-1503
Phone (724) 824-8185

Other identifiers 1

IdentifierTypeStateIssuer
0000001741740MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050425000393 PA Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Pediatric Medicine 9234177767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health NetworkGroup PAC ID 9234046228, shared by 37 NPIs, 64 clinicians

Practice addresses (Care Compare)

1112 S Mill St
New Castle, PA 16101-4629
Phone (724) 658-4564

Hospital & facility affiliations

  • Heritage Valley Beaver Hospital, Beaver, PA, CCN 390036
  • Upmc Jameson Hospital, New Castle, PA, CCN 390016
  • Upmc Passavant Hospital, Pittsburgh, PA, CCN 390107

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Network CurrentSince Aug 1, 2019 Accepting new patients
Primary Health Network CurrentSince Aug 1, 2019 Accepting new patients
Primary Health Network Past Accepting new patients

Locations

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

99 Autumn St
Aliquippa, PA 15001
Phone (724) 375-5754

304 Evans Dr
Ste 201
Ellwood City, PA 16117
Phone (724) 752-6974

304 Evans Dr
Ste 401
Ellwood City, PA 16117
Phone (724) 752-6856

2000 Green St
Farrell, PA 16121
Phone (724) 342-6600

737 Greenville Rd
Mercer, PA 16137
Phone (724) 662-1414

1112 S Mill St
New Castle, PA 16101
Phone (724) 656-5000

63 Pitt St
Sharon, PA 16146
Phone (724) 342-6604

100 Shenango Ave
Sharon, PA 16146
Phone (724) 704-8886

225 Edgewood Drive Ext
Transfer, PA 16154
Phone (724) 962-3553

Interoperability endpoints

  • Direct secure messaging: bethannmagnifico@primaryhn.medalliesdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1548214901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHENANGO AVE",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161461503",
            "telephone_number": "724-824-8185",
            "fax_number": "724-824-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 EVANS DR STE 401",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161171478",
            "telephone_number": "724-824-8185",
            "fax_number": "724-824-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNIFICO",
        "first_name": "BETH",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OS007901L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS007901L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000001741740",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellwood City, PA

Sources for this page

Verify at the official NPI Registry.