Macgasgirl, LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

28147521A Issued in IN

Legal business name

MACGASGIRL, LLC

Practice address

7747 W Jefferson Blvd Ste B
Fort Wayne, IN 46804-4135

Phone

(260) 434-9104

NPI assigned

Mar 28, 2017

Organization subpart

No

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

Authorized official

Name

Laura R Meaney, CRNA

Title

Owner

Phone

(574) 268-9640

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491436800000",
    "number": "1790217081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1296",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465811296",
            "telephone_number": "574-268-9640",
            "fax_number": "574-268-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7747 W JEFFERSON BLVD STE B",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044135",
            "telephone_number": "260-434-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACGASGIRL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-04-06",
        "status": "A",
        "authorized_official_last_name": "MEANEY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-268-9640",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28147521A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Todd Mabry, DDS
• Indigo Mabson
• Dawn August Macdonald, LCSW
• Jerika C. Mace, MS
• Maria Eileen Mace, DO
• Christina P Machielson, DPT,OCS
• Margaret A Machlan, MSW, LCSW, LCAC
• Amanda Renee Macias
• Teresa Maciejewski, PT
• Chelsie Mack

• Certified Registered Nurse Anesthetist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Certified Registered Nurse Anesthetist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.