Organization Active NPI

Amani a Maguid MD SC

  • Specialist
  • Waukesha, WI
National Provider Identifier
1831451483
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
29206 Issued in WI
Legal business name
AMANI A MAGUID MD SC
Practice address
21675 E Moreland Blvd Ste 100
Waukesha, WI 53186
Phone
(262) 657-5446
Fax
(262) 395-4068
NPI assigned
Jun 11, 2012
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Amani A Maguid, MDNPI 1770597452
Title
President
Phone
(262) 657-5446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20120618000335 WI Part B Supplier - Clinic/Group Practice 0941464218 Receives reassigned benefits from 1 practitioner
Practice locations: Waukesha, WI

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 29206 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

21675 E Moreland Blvd Ste 100
Waukesha, WI 53186

Mailing address

21675 E Moreland Blvd Ste 100
Waukesha, WI 53186-3000
Phone (262) 657-5446

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 23, 2018.

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1831451483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21675 E MORELAND BLVD STE 100",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531863000",
            "telephone_number": "262-657-5446",
            "fax_number": "262-395-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21675 E MORELAND BLVD STE 100",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "53186",
            "telephone_number": "262-657-5446",
            "fax_number": "262-395-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANI A MAGUID MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "MAGUID",
        "authorized_official_first_name": "AMANI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-657-5446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WI",
            "license": "29206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.