Active NPI
Martin Eugene McGonagle, M.D.
- Otolaryngology Physician
- Stephenville, TX
National Provider Identifier
1871698308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- G6563
- Practice address
- 763 N Graham St
Stephenville, TX 76401-3148 - Phone
- (254) 965-7870
- Fax
- (254) 965-5373
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | G6563 | TX | Primary |
Addresses
Primary practice location
763 N Graham St
Stephenville, TX 76401-3148
Mailing address
PO Box 33648
Fort Worth, TX 76162
Phone (817) 579-2660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126628001 | Medicaid | TX |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin E McGonagle MD PA | Past | Accepting new patients | |
| Martin E McGonagle MD PA | Past | Accepting new patients | |
| Martin E McGonagle MD PA | Past | Accepting new patients | |
| Texas Non-Surgical Orthopedic & Pain Management Clinic | Past | Accepting new patients |
Interoperability endpoints
- martine.mcgonagle@memmp-tx.direct.office.nextgen.com
Organizations & group practices 4
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.
-
dba MidTex Hearing Center
- Hearing Aid Equipment
- Brownwood, TX
- NPI 1144355892
-
dba Mid-Tex Hearing Center
- Hearing Aid Equipment
- Stephenville, TX
- NPI 1417151986
-
dba Midtex Hearing Center
- Hearing Aid Equipment
- Granbury, TX
- NPI 1942404181
-
- Orthopaedic Surgery Physician
- Brownwood, TX
- NPI 1902186422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501027200000",
"number": "1871698308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33648",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76162",
"telephone_number": "817-579-2660",
"fax_number": "817-579-2663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "763 N GRAHAM ST",
"city": "STEPHENVILLE",
"state": "TX",
"postal_code": "764013148",
"telephone_number": "254-965-7870",
"fax_number": "254-965-5373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGONAGLE",
"first_name": "MARTIN",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2017-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "G6563",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126628001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stephenville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.