Magnolia Family Medicine PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9500364 Issued in NC

Legal business name

MAGNOLIA FAMILY MEDICINE PC

Practice address

3720 Shipyard Blvd
Wilmington, NC 28403-6147

Phone

(910) 796-3212

Fax

(910) 796-3216

NPI assigned

Feb 23, 2009

Last updated

Apr 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard Adam Gutsin, D.O.

Title

Owner

Phone

(910) 796-3212

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1639319213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 SHIPYARD BLVD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036147",
            "telephone_number": "910-796-3212",
            "fax_number": "910-796-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 SHIPYARD BLVD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036147",
            "telephone_number": "910-796-3212",
            "fax_number": "910-796-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "GUTSIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-796-3212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9500364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7937920",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "richard.gutsin@mfmed.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "ECW email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3720 Shipyard Blvd",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284036147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniel J. Maggio, D.C.
• William Seth Magin, M.D.
• Anthony Maglione, M.D.
• Mindy R Maglione, NP
• Magnolia Counseling and Wellness, PLLC
• Magnolia Wellness Group, PC
• Michelle Maguire, MSW LCSW
• Patrick David Maguire, M.D.
• Melissa Maillard
• Mainstreet and Kidsstreet of North Carolina PLLC (MainStreet Family Care)

• Family Medicine Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.