Individual provider Active NPI

George Jerome Magovern Jr., MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Pittsburgh, PA
National Provider Identifier
1790786424
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
MD033497E Issued in PA
Practice address
320 E North Ave
Pittsburgh, PA 15212-4756
Phone
(412) 359-8820
Fax
(412) 359-8222
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD033497E PA Primary

Addresses

Primary practice location

320 E North Ave
Pittsburgh, PA 15212-4756

Mailing address

320 E North Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-8820

Other identifiers 2

IdentifierTypeStateIssuer
10931561OtherCAQH
001022906MedicaidPA

Other names 1

  • George Magovern Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gmagovern11106@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD033497EPAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jun 15, 1999 Accepting new patients
Allegheny Clinic Current Accepting new patients
St Clair Medical Services Inc CurrentSince Jul 1, 2018 Accepting new patients
St Clair Medical Services, Inc. CurrentSince Jul 1, 2018 Accepting new patients
St Clair Medical Services, Inc. Current Accepting new patients
Allegheny Clinic CurrentSince Jun 15, 1999 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Cardiothoracic Surgical Associates Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

490 E North Ave
Ste 302
Pittsburgh, PA 15212
Phone (412) 322-2622

1050 Bower Hill Rd
Ste 203
Pittsburgh, PA 15243
Phone (412) 443-3693

4815 Liberty Ave
Ste 439
Pittsburgh, PA 15224
Phone (412) 578-3925

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1790786424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-359-8820",
            "fax_number": "412-359-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-359-8820",
            "fax_number": "412-359-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGOVERN",
        "first_name": "GEORGE",
        "middle_name": "JEROME",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PA",
            "license": "MD033497E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10931561",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001022906",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gmagovern11106@direct.ahn.org",
            "affiliation": "N",
            "address_1": "320 E North Ave",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152124756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GEORGE",
            "last_name": "MAGOVERN",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.