Active NPI
Thatcher NMN Magoun VI, M.D.
- Surgery Physician
- Kalaheo, HI
National Provider Identifier
1881794402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 1601
- Practice address
- 3781 Papalina Rd
Kalaheo, HI 96741-9513 - Phone
- (808) 332-9430
- Fax
- (808) 332-9430
- NPI assigned
- Sep 24, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 1601 | HI | Primary |
Addresses
Primary practice location
3781 Papalina Rd
Kalaheo, HI 96741-9513
Mailing address
3781 Papalina Rd
Kalaheo, HI 96741-9513
Phone (808) 332-9430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1601 | HI | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Diagnostic & Surgical Center, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ambulatory Surgical Clinic/Center
- Mesa, AZ
- NPI 1073561049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881794402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3781 PAPALINA RD",
"city": "KALAHEO",
"state": "HI",
"postal_code": "967419513",
"telephone_number": "808-332-9430",
"fax_number": "808-332-9430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3781 PAPALINA RD",
"city": "KALAHEO",
"state": "HI",
"postal_code": "967419513",
"telephone_number": "808-332-9430",
"fax_number": "808-332-9430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGOUN",
"first_name": "THATCHER",
"middle_name": "NMN",
"name_prefix": "Dr.",
"name_suffix": "VI",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "HI",
"license": "1601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalaheo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.