Active NPI
Sergio M Lagman, M.D.
- Diagnostic Radiology Physician
- Macclenny, FL
National Provider Identifier
1598757098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME32457
- Practice address
- 159 N. 3Rd Street
Macclenny, FL 32063-0484 - Phone
- (904) 259-3151
- Fax
- (904) 259-4675
- NPI assigned
- Aug 19, 2005
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME32457 | FL | Primary |
Addresses
Primary practice location
159 N. 3Rd Street
Macclenny, FL 32063-0484
Mailing address
159 N. 3Rd Street
Macclenny, FL 32063-0484
Phone (904) 259-3151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 037749000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchor Health Centers PA | Diagnostic Radiology | Past | Accepting new patients |
| Naples Diagnostic Imaging Center LTD | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Associates of Lake City PA | Diagnostic Radiology | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Naples, FL
- NPI 1609868447
-
- Diagnostic Radiology Physician
- Lake City, FL
- NPI 1750315081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396224000000",
"number": "1598757098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 N. 3RD STREET",
"city": "MACCLENNY",
"state": "FL",
"postal_code": "320630484",
"telephone_number": "904-259-3151",
"fax_number": "904-259-4675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 N. 3RD STREET",
"city": "MACCLENNY",
"state": "FL",
"postal_code": "320630484",
"telephone_number": "904-259-3151",
"fax_number": "904-259-4675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGMAN",
"first_name": "SERGIO",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2014-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME32457",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "037749000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Macclenny, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.