Kirsten P Magowan, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

180821 Issued in NY

Practice address

7278 Buckley Rd
North Syracuse, NY 13212-2649

Phone

(315) 452-1712

Fax

(315) 452-0394

NPI assigned

Sep 25, 2006

Last updated

Feb 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: kmagowan@hiemail.healtheconnections.org
• Direct secure messaging: nourtcourtpeds@hiemail.healtheconnections.org

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1770683856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7278 BUCKLEY RD",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132122649",
            "telephone_number": "315-452-1712",
            "fax_number": "315-452-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7278 BUCKLEY RD",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132122649",
            "telephone_number": "315-452-1712",
            "fax_number": "315-452-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGOWAN",
        "first_name": "KIRSTEN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "180821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01354801",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loretto-Buckley Landing
• Nathan Charles Loughlin, PT, DPT
• Maureen Lupica, N.P.
• Matthew John Lynam, DC
• Lynda Kreitzer DPM LLC
• Thomas Francis Mahar, DDS
• Laura Jean Major, LPN
• Allen Bruce Manning, PH.D.
• Carrie Anne Manning, RPH
• Michael J Maresca, LMT

• Pediatrics Physician in North Syracuse, NY
• Providers in North Syracuse, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.

Verify at the official NPI Registry.