PATRICK C MAGINN (NPI# 1063410512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063410512 |
| Entity Type | Individual |
| Full Name | PATRICK C MAGINN |
| Credential | MD |
| Practice Address |
625 9th Ave Suite 120 Longview WA 98632-2464 |
| Practice Telephone | 3604253720 |
| Practice Fax Number | 3604250090 |
| Mailing Telephone | 3604253720 |
| Mailing Fax Number | 3604250090 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2007-10-22 |
| NPI Deactivation Date | 03/15/2006 |
| NPI Reactivation Date | 2006-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD0000193Z5 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | MEDICARE | 115655 | 01 |
| WA | 1819002 | 05 |
| Street Address |
625 9TH AVE SUITE 120 |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-2464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285632919 | Patrick M Lassen | Urology | 625 9th Ave, Suite 120, Longview, WA 98632-2464 | 2005-07-07 |
| 1356640312 | Brittney Higa | Physical Therapist | 625 9th Ave, Suite 220, Longview, WA 98632-2464 | 2011-03-16 |
| 1891012316 | Providence Health & Services - Oregon | Clinic/Center | 625 9th Ave, Suite 120, Longview, WA 98632-2465 | 2010-04-23 |
| 1043414741 | Tony C Lin | Orthopaedic Surgery | 625 9th Ave, Ste 210, Longview, WA 98632-2464 | 2007-06-14 |
| 1063623429 | Aaron C Varney | Occupational Therapist | 625 9th Ave, Suite 220, Longview, WA 98632 | 2007-05-25 |
| 1750481453 | Longview Surgical Center LLC | Clinic/Center | 625 9th Ave, Suite #110, Longview, WA 98632 | 2006-09-22 |
| 1588688402 | John Thomas Mansfield | Urology | 625 9th Ave, Suite 120, Longview, WA 98632-2464 | 2006-07-26 |
| 1366492795 | David Maligro | Physician Assistant | 625 9th Ave, Ste 210, Longview, WA 98632-2465 | 2006-05-10 |
| 1245205228 | David Michael Black | Orthopaedic Surgery | 625 9th Ave, Ste 210, Longview, WA 98632-2465 | 2006-02-22 |
| 1225003213 | William Taylor Turner | Orthopaedic Surgery | 625 9th Ave, Ste 210, Longview, WA 98632-2465 | 2006-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649780453 | Paul Bradley Md Pllc | Urology | 703 E Marshall Ave Ste 4009, Longview, TX 75601-5500 | 2017-10-06 |
| 1457642282 | Landon Taylor Erickstad | Urology | 802 Medical Dr Ste 400, Longview, TX 75605-5205 | 2011-04-27 |
| 1639207574 | Gid Roger Johnson | Urology | 1608 Sweetbriar St, Longview, TX 75604-2654 | 2007-03-01 |
| 1780658112 | Robert W Frederick | Urology | 703 E Marshall Ave Ste 5007, Longview, TX 75601 | 2006-02-14 |
| 1285632919 | Patrick M Lassen | Urology | 625 9th Ave, Suite 120, Longview, WA 98632-2464 | 2005-07-07 |
| 1932369832 | Paul R Bradley | Urology | 703 E Marshall Ave, Suite 5007, Longview, TX 75601-5500 | 2008-06-13 |
| 1346430527 | Adrienne J K Carmack | Urology | 703 E Marshall Ave, Suite 5007, Longview, TX 75601-5500 | 2007-07-25 |
| 1790847994 | M'liss A Hudson | Urology | 802 Medical Dr, Suite 400, Longview, TX 75605-5100 | 2006-12-14 |
| 1588688402 | John Thomas Mansfield | Urology | 625 9th Ave, Suite 120, Longview, WA 98632-2464 | 2006-07-26 |
| 1700853793 | Gregory A Edwards | Urology | 802 Medical Dr, Suite 400, Longview, TX 75605-5100 | 2006-03-08 |
| Find all providers in LONGVIEW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.