STEPHEN KYLE MAGIE (NPI# 1306820360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306820360 |
| Entity Type | Individual |
| Full Name | STEPHEN KYLE MAGIE |
| Credential | M.D. |
| Practice Address |
924 Main St Conway AR 72032 |
| Mailing Address |
924 Main St Conway AR 72032-5424 |
| Practice Telephone | 5013274444 |
| Practice Fax Number | 5013273962 |
| Mailing Telephone | 5013274444 |
| Mailing Fax Number | 5013273962 |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2020-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
C5791 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 111246001 | 05 |
| Street Address |
924 MAIN ST |
| City | CONWAY |
| State | AR |
| Zip Code | 72032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588648992 | Magie Mabrey Eye Clinic, P A | Ophthalmology | 924 Main St, Conway, AR 72032 | 2005-11-30 |
| 1720476310 | Magie Smith Charton Eye Clinic Pa | Ophthalmology | 924 Main St, Conway, AR 72032-5424 | 2015-01-05 |
| 1881897817 | Justin Wayne Charton | Ophthalmology | 924 Main St, Conway, AR 72032-5424 | 2007-06-07 |
| 1902880214 | Jeffrey James Strossner | Optometrist | 924 Main St, Conway, AR 72032-5424 | 2005-11-30 |
| 1023092343 | Melanie F. Smith | Ophthalmology | 924 Main St, Conway, AR 72032-5424 | 2005-11-30 |
| 1609850916 | Bryan Scott Koontz | Optometrist | 924 Main St, Conway, AR 72032-5424 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| Find all providers in zip 72032 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588648992 | Magie Mabrey Eye Clinic, P A | Ophthalmology | 924 Main St, Conway, AR 72032 | 2005-11-30 |
| 1417581638 | South Carolina Retina Institute LLC | Ophthalmology | 1404 Main St, Conway, SC 29526-3567 | 2020-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235345414 | Cedric Pratt | Ophthalmology | 9800 Baptist Health Dr Ste 501, Little Rock, AR 72205 | 2007-05-15 |
| 1366474538 | Serrhel G Adams Jr. | Ophthalmology | 5501 Willow Creek Dr Ste 203b, Springdale, AR 72762-8708 | 2006-07-07 |
| 1366424996 | Rickey D Medlock | Ophthalmology | 9800 Baptist Health Dr Ste 200, Little Rock, AR 72205-6243 | 2005-11-18 |
| 1205461944 | Serrhel Adams Jr Md Pllc | Ophthalmology | 5501 Willow Creek Dr Ste 203b, Springdale, AR 72762-8708 | 2020-03-03 |
| 1700057361 | Northwest Arkansas Retina Associates, P.a. | Ophthalmology | 5501 Willow Creek Dr Ste 203b, Springdale, AR 72762-8708 | 2008-03-21 |
| 1326256918 | Stephen James Davis | Ophthalmology | 9800 Baptist Health Dr, Suite 501, Little Rock, AR 72205 | 2007-05-18 |
| 1184633075 | Bradley Milton Hughes | Ophthalmology | 9800 Baptist Health Dr, Suite 501, Little Rock, AR 72205 | 2006-08-07 |
| 1255350021 | John King | Ophthalmology | 9800 Baptist Health Dr Ste 200, Little Rock, AR 72205-6243 | 2006-07-19 |
| 1447234760 | William Thomas Mabrey | Ophthalmology | 9800 Baptist Health Dr, Ste 501, Little Rock, AR 72205 | 2005-11-30 |
| 1851373484 | Gerald T Ware | Ophthalmology | 9800 Baptist Health Dr Ste 200, Little Rock, AR 72205-6243 | 2005-11-18 |
| Find all providers with the same taxonomy | ||||
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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.