Larry Maugel, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35974 Issued in NC

Practice address

1450 Matthews Township Pkwy
Suite 450
Matthews, NC 28105-2387

Phone

(704) 384-8480

Fax

(704) 384-8481

NPI assigned

Feb 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1922070754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602362",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602362",
            "telephone_number": "704-384-8480",
            "fax_number": "704-384-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MATTHEWS TOWNSHIP PKWY",
            "address_2": "SUITE 450",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281052387",
            "telephone_number": "704-384-8480",
            "fax_number": "704-384-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUGEL",
        "first_name": "LARRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "35974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N35974",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8955031",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthews Psychotherapy Associates, PA
• Matthews Surgery Center, LLC
• Ernest Prince Matthews II, LMT
• Huston Johnson Mattson IV, LAT, ATC
• Robert Charles Matulonis, D.O.
• Mavilcare Home Health Agency
• Max Motion
• Rosalyn Gioia Mazoway, MS RN
• McAdams Free Clinic
• Lou Ann McAdams, MD

• Family Medicine Physician in Matthews, NC
• Providers in Matthews, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.