Organization Active NPI

Magna Intensive Care LLC

  • Specialist
  • Macon, GA
National Provider Identifier
1790827129
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MAGNA INTENSIVE CARE LLC
Practice address
657 Hemlock St
Ste 220
Macon, GA 31201-8329
Phone
(478) 741-7241
Fax
(478) 745-8932
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mufid A Othman
Title
President
Phone
(478) 741-7241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

657 Hemlock St
Ste 220
Macon, GA 31201-8329

Mailing address

657 Hemlock St
Ste 220
Macon, GA 31201-8329
Phone (478) 741-7241

National Provider Directory

National Provider Directory

Locations

657 Hemlock St
Ste 220
Macon, GA 31201
Phone (478) 741-7241

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790827129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 HEMLOCK ST",
            "address_2": "STE 220",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018329",
            "telephone_number": "478-741-7241",
            "fax_number": "478-745-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 HEMLOCK ST",
            "address_2": "STE 220",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018329",
            "telephone_number": "478-741-7241",
            "fax_number": "478-745-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNA INTENSIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OTHMAN",
        "authorized_official_first_name": "MUFID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-741-7241",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.