Individual provider Active NPI

Colette M Magnant, MD

  • Surgery Physician
  • Chevy Chase, MD
National Provider Identifier
1780732792
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0050354 Issued in MD
Practice address
5454 Wisconsin Ave
Suite 825
Chevy Chase, MD 20815-6901
Phone
(301) 654-8060
Fax
(301) 654-9695
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D0050354 MD Primary

Addresses

Primary practice location

5454 Wisconsin Ave
Suite 825
Chevy Chase, MD 20815-6901

Mailing address

5454 Wisconsin Ave
Suite 825
Chevy Chase, MD 20815-6901
Phone (301) 654-8060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100125000453 DC Practitioner - General Surgery 0143362400 Reassigns benefits to 1 organization
I20160921000168 MD Practitioner - General Surgery 0143362400 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0050354MDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Surgery CurrentSince Aug 14, 2016 Accepting new patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University CurrentSince Aug 1, 2016 Accepting new patients
Johns Hopkins University Surgery CurrentSince Aug 1, 2016 Accepting new patients
Johns Hopkins University CurrentSince Aug 14, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Maryland Oncology Hematology P.a. Past Accepting new patients

Locations

5255 Loughboro Rd NW
Fl 4
Washington, DC 20016
Phone (202) 243-5230

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

600 N Wolfe St
Baltimore, MD 21287

Organizations & group practices 8

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780732792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE",
            "address_2": "SUITE 825",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156901",
            "telephone_number": "301-654-8060",
            "fax_number": "301-654-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE",
            "address_2": "SUITE 825",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156901",
            "telephone_number": "301-654-8060",
            "fax_number": "301-654-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNANT",
        "first_name": "COLETTE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0050354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.