JOHN J MAGNUSON (NPI# 1770689747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770689747 |
| Entity Type | Individual |
| Full Name | JOHN J MAGNUSON |
| Credential | MD |
| Practice Address |
155 Village Dr Sparta MO 65753-8104 |
| Practice Telephone | 4176344203 |
| Practice Fax Number | 4176344505 |
| Mailing Telephone | 4176344203 |
| Mailing Fax Number | 4176344505 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 2002019251 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 205921703 | 05 | |
| MO | 1770689747 | 05 | |
| RR MEDICARE | P00361139 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699235044 | John Gunnar Magnuson | Student in an Organized Health Care Education/Training Program | 1107 E 66th St, Savannah, GA 31404-5701 | 2019-03-21 |
| Street Address |
155 VILLAGE DR |
| City | SPARTA |
| State | MO |
| Zip Code | 65753-8104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215932488 | Arthur Joe Cohn | Internal Medicine | 155 Village Dr, Sparta, MO 65753-8104 | 2005-06-15 |
| 1689289282 | Eric B Hines | Family Medicine | 155 Village Dr, Sparta, MO 65753-8104 | 2020-09-10 |
| 1003389941 | Tara N Loveland | Nurse Practitioner | 155 Village Dr, Sparta, MO 65753-8104 | 2019-01-03 |
| 1073020673 | Katrina Lea Selsor | Nurse Practitioner | 155 Village Dr, Sparta, MO 65753-8104 | 2018-01-04 |
| 1972620383 | Bridges Medical Services P.C. | Clinic/Center | 155 Village Dr, Sparta, MO 65753 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043790504 | Regional Services | Nurse Practitioner | 8520 Mo-14, Sparta, MO 65753 | 2018-08-15 |
| 1780801936 | Daniel Douglas Mccool | Speech-Language Pathologist | School Dist R 3 Sparta, 113 Division, Sparta, MO 65753-0160 | 2007-04-19 |
| 1255527990 | Mary Neal | Speech-Language Pathologist | 217 Division St, Sparta R IIi, Sparta, MO 65753-0160 | 2007-09-17 |
| 1689758872 | Rural Healthcare Providers Inc. | Family Medicine | 515 Hugh Ave, Sparta, MO 65753-0449 | 2006-10-24 |
| 1063425650 | Paul Boyd Glynn | Family Medicine | 515 Hugh Ave, Sparta, MO 65753-1220 | 2006-08-14 |
| 1043839491 | Ehsan Zandifar | Family Medicine | 515 Hugh Ave, Sparta, MO 65753-1220 | 2020-04-15 |
| 1750708335 | Betty S. Bruce | Nurse Practitioner | 515 Hugh Ave, Sparta, MO 65753-1220 | 2014-03-21 |
| 1811391717 | Sgoh Acquisition, Inc. | Clinic/Center | 155 Village Drive, Sparta, MO 65753-8104 | 2014-10-21 |
| 1710433297 | Erica Neff | Registered Nurse | 407 Nutmeg Ct, Sparta, MO 65753-8503 | 2016-08-25 |
| 1699740001 | Family Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 7154 State Highway 14 E, Sparta, MO 65753-8939 | 2006-02-20 |
| Find all providers in zip 65753 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871910992 | Ashwini Achar | Pediatrics | 328 South Sparta Avenue, Sparta, NJ 07871 | 2014-03-26 |
| 1962761122 | Amy Eppstein | Pediatrics | 207 S Burns Ave, Sparta, IL 62286-1857 | 2012-05-09 |
| 1528140399 | Catherine Ann Mchugh | Pediatrics | 89 Sparta Avenue, Suite 210, Sparta, NJ 07871 | 2006-10-20 |
| 1740360569 | Diana Patricia Spensieri | Pediatrics | 328-a Sparta Avenue, Skylands Pediatrics, Sparta, NJ 07871 | 2006-10-16 |
| 1477510782 | Michael B O'neill | Pediatrics | 328 Sparta Ave, Sparta, NJ 07871 | 2006-04-28 |
| 1871558668 | Skylands Pediatrics | Pediatrics | 328 A Sparta Ave, Sparta, NJ 07871 | 2006-04-18 |
| 1447257225 | Denise Novaes | Pediatrics | 328a Sparta Ave, Sparta, NJ 07871-1166 | 2005-07-07 |
| 1669885711 | Primary Care Partners LLC | Pediatrics | 328a Sparta Ave, Sparta, NJ 07871-1166 | 2014-06-06 |
| 1952743361 | Alexis Nicole Capozzoli | Pediatrics | 328a Sparta Ave, Sparta, NJ 07871-1166 | 2013-07-26 |
| 1164649356 | Tlc Family Care PC | Pediatrics | 705 Howell St, Sparta, TN 38583-1008 | 2007-04-19 |
| Find all providers in SPARTA | ||||
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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.