DR. IAN DOUGLAS MACAGY (NPI# 1912957010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912957010 |
| Entity Type | Individual |
| Full Name | DR. IAN DOUGLAS MACAGY |
| Credential | M.D. |
| Practice Address |
2760 S Elm Ave Fresno CA 93706-5435 |
| Practice Telephone | 5594575300 |
| Practice Fax Number | 5594575390 |
| Mailing Telephone | 5594575300 |
| Mailing Fax Number | 5594575390 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2019-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | G89345 | CA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | ME82522 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 261486300 | 05 |
| Street Address |
2760 S ELM AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93706-5435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578046173 | Elizabeth A. Reinholt | Advanced Practice Midwife | 2760 S Elm Ave, Fresno, CA 93706-5435 | 2018-09-10 |
| 1710369657 | Margaret Tharyna German De La Cruz | Pediatrics | 2760 S Elm Ave, Fresno, CA 93706-5435 | 2015-06-27 |
| 1881024305 | Manita Kaur Nat | Obstetrics & Gynecology | 2760 S Elm Ave, Fresno, CA 93706-5435 | 2013-11-19 |
| 1588911960 | Walter Valdevilla Laurel | Pediatrics | 2760 S Elm Ave, Fresno, CA 93706-5435 | 2012-08-05 |
| 1225391576 | Jolie S Ramesar | Pediatrics | 2760 S Elm Ave, Fresno, CA 93706-5435 | 2012-06-21 |
| 1225307614 | Laura Beth Schleicher | Advanced Practice Midwife | 2760 S Elm Ave, Fresno, CA 93706-5435 | 2011-12-14 |
| 1902135577 | Alma Bustamante Dayanghirang | Obstetrics & Gynecology | 2760 S Elm Ave, Fresno, CA 93706-5435 | 2009-12-10 |
| 1245480821 | Clinca Sierra Vista | Clinic/Center | 2760 S Elm Ave, Fresno, CA 93706-5435 | 2008-09-19 |
| 1669621447 | Clinica Sierra Vista | Clinic/Center | 2760 S Elm Ave, Fresno, CA 93706-5435 | 2008-09-16 |
| 1508066671 | Kalila Deniece Banks | Physician Assistant | 2760 S Elm Ave, Fresno, CA 93706-5435 | 2007-07-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295378446 | Caussaundra Maria Dominguez | Counselor | 2772 S Martin Luther King, Fresno, CA 93706 | 2019-10-21 |
| 1881244945 | Aurelio Mendoza | Counselor | 1414 W. Kearney Blvd, Fresno, CA 93706 | 2019-09-19 |
| 1003374539 | Jasmine Elizabeth Flores | Counselor | 2772 S Martin Luther King Junior Blvd, Fresno, CA 93706 | 2019-03-04 |
| 1063982049 | Bruno Sivongxay | Counselor | 2772 South Martin L King Jr Blvd, Fresno, CA 93706 | 2018-12-03 |
| 1821567538 | Misty Dawn Shepherd | Counselor | 2772 Martin L King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1497224125 | Jose Jimenez | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1023587730 | James John Pokorny IIi | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1932574225 | Brandi Leos | Counselor | 2772 Mlk Jr. Blvd, Fresno, CA 93706 | 2015-12-11 |
| 1174998199 | Jeremiah Hinojosa | Counselor | 2772 S M.l.k. Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| 1538534557 | Megan Mahoney | Counselor | 2772 S Martin Luther King Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154873230 | Valley Women's Healthcare Medical Group, Inc | Obstetrics & Gynecology | 255 E River Park Cir Ste 240, Fresno, CA 93720-1574 | 2016-10-25 |
| 1598143901 | Roderick O Harris Md Inc | Obstetrics & Gynecology | 7081 N Marks Ave # 104-331, Fresno, CA 93711-0232 | 2015-05-18 |
| 1649542549 | William L. Griffin, Jr. M.d., Inc | Obstetrics & Gynecology | 6181 N. Thesta, Suite 101, Fresno, CA 93710-8604 | 2012-02-08 |
| 1164727368 | Mariah C Grace | Obstetrics & Gynecology | 150 North Fresno Stree, Fresno, CA 93701 | 2011-01-19 |
| 1700112943 | Teresa Elena Munoz | Obstetrics & Gynecology | 155 N Fresno St Ste 233, Fresno, CA 93701-2302 | 2009-10-22 |
| 1811199672 | Vasanth M Vishwanath M.d. Inc | Obstetrics & Gynecology | 7075 N Maple Ave Ste 102, Fresno, CA 93720-8014 | 2007-06-04 |
| 1326254624 | Paul A White | Obstetrics & Gynecology | 2152 E Cooper Avenue, Suite 111, Fresno, CA 93730-5404 | 2007-05-15 |
| 1043345853 | Kim I Morris | Obstetrics & Gynecology | 2210 E Illinois Ave Ste 505, Fresno, CA 93701-2184 | 2007-02-22 |
| 1932251089 | Michael Illingworth | Obstetrics & Gynecology | 1945 N Fine Ave Ste 100, Fresno, CA 93727-1528 | 2007-01-17 |
| 1255489530 | Michele Greenhouse Md | Obstetrics & Gynecology | 9625 N Matus Ave, Fresno, CA 93720-4630 | 2007-01-05 |
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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.