DR. PHILLIP WALTER MAGNONE (NPI# 1962848705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962848705 |
Entity Type | Individual |
Full Name | DR. PHILLIP WALTER MAGNONE |
Credential | M.D. |
Practice Address |
2401 W University Ave Muncie IN 47303-3428 |
Mailing Address |
7340 Shadeland Sta Ste 200 Indianapolis IN 46256-3980 |
Practice Telephone | 7657411095 |
Mailing Telephone | 3175792150 |
Mailing Fax Number | 3175792130 |
Enumeration Date | 2013-05-20 |
Last Update Date | 2019-06-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
01074659A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 300014815 | 05 |
Street Address |
2401 W UNIVERSITY AVE |
City | MUNCIE |
State | IN |
Zip Code | 47303-3428 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699778894 | Adesola Awomolo | Internal Medicine | 2401 W University Ave, Muncie, IN 47303 | 2005-05-23 |
1235740846 | Kalee Danielle Gerber | Nurse Practitioner | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-08-17 |
1295343903 | Elizabeth Ann Ewer | Registered Nurse | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-07-20 |
1043838261 | Bailey Noel Cole | Nurse Practitioner | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-07-14 |
1205454857 | Dylan L Holcomb | Nurse Practitioner | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-07-10 |
1972124451 | David Andrew Price | Student in an Organized Health Care Education/Training Program | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-05-06 |
1396366969 | David Arthur Schmitz | Student in an Organized Health Care Education/Training Program | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-05-05 |
1093336943 | Donald Brock Smith | Student in an Organized Health Care Education/Training Program | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-05-01 |
1629699772 | Jared Blake Salisbury | Student in an Organized Health Care Education/Training Program | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-04-29 |
1831718451 | Morgan Perkins | Dietitian, Registered | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-04-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144790726 | Elisabeth Marriah Bernal | Nurse Practitioner | 2525 W University Ave Suite 300, Muncie, IN 47303 | 2018-11-27 |
1013413806 | Charles Austin Curtis | Student in an Organized Health Care Education/Training Program | Iu Health Ball Memorial Family Medicine Residency, 221 North Celia Avenue, Muncie, IN 47303 | 2018-04-02 |
1730607359 | Ronald Settles | Home Health | 1812 Carver Dr, Muncie, IN 47303 | 2017-09-04 |
1932635034 | Abigail Chilsen | Student in an Organized Health Care Education/Training Program | 221 North Celia Avenue, Iu Health Ball Memorial Family Medicine Residency, Muncie, IN 47303 | 2017-05-10 |
1780117176 | Adil Khan | Internal Medicine | Iu Health Ball Memorial Hospital, 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2017-04-04 |
1508212044 | Erick Reece Christensen | Student in an Organized Health Care Education/Training Program | 2525 W University Ave Iu Health Ball Memorial Hospital, Suite 401, Muncie, IN 47303 | 2016-05-13 |
1700230075 | Mallory Nebergall | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave. Ste 401, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2016-04-22 |
1811341282 | Padmini Parameswaran | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2016-04-21 |
1437557345 | Great Lakes Family Dental Group-muncie, P.C. | Dentist | 1003 W. Mcgalliard Road, Muncie, IN 47303 | 2014-12-09 |
1194145185 | Swetha Boddeda | Student in an Organized Health Care Education/Training Program | 2401 W University Lane, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2014-04-17 |
Find all providers in zip 47303 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841345055 | Colleen M Madden | Radiology | 3301 W Bethel Ave, Muncie, IN 47304-5402 | 2007-01-25 |
1144247719 | Asa Imaging of Indiana LLC | Radiology | 6000 Kilgore Ave, Muncie, IN 47304 | 2006-07-17 |
1396782785 | Nripendra Devanath | Radiology | 2598 W White River Blvd, Muncie, IN 47303-5251 | 2006-06-02 |
1457512519 | Matthew Crosby | Radiology | 2598 W White River Blvd, Muncie, IN 47303-5251 | 2008-06-21 |
1013191493 | Health Care Connections, Inc. | Radiology | 2401 W University Ave, Muncie, IN 47303-3428 | 2007-12-21 |
1427260124 | Jamison L Wilson | Radiology | 2401 W University Ave, Muncie, IN 47303-3499 | 2007-05-04 |
1861524621 | Gianvito L Salerno | Radiology | 2401 W University Ave, Muncie, IN 47303-3428 | 2007-03-09 |
1063452969 | Carl W Meyer IIi | Radiology | 2598 W White River Blvd, Muncie, IN 47303-5251 | 2006-06-08 |
1588604474 | Catherine C Moran | Radiology | 2598 W White River Blvd, Muncie, IN 47303-5251 | 2006-06-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588295448 | Hassan Sawaf | Radiology | 1411 S Creasy Ln Ste 130, Lafayette, IN 47905-7433 | 2020-01-30 |
1326695479 | Proscan Imaging of Greenwood, LLC | Radiology | 965 Emerson Pkwy Ste E, Greenwood, IN 46143-6274 | 2019-08-23 |
1598235566 | A Mri, LLC | Radiology | 7301 N Shadeland Ave Ste 1d, Indianapolis, IN 46250-2085 | 2018-12-03 |
1033686639 | Franciscan Physician Network | Radiology | 1703 W Stones Crossing Rd # 220, Greenwood, IN 46143-8569 | 2018-11-01 |
1689141285 | Franciscan Physician Network | Radiology | 1703 W Stones Crossing Rd # 351, Greenwood, IN 46143-8569 | 2018-11-01 |
1598232241 | Franciscan Physician Network | Radiology | 1703 W Stones Crossing Rd # 350, Greenwood, IN 46143-8569 | 2018-10-31 |
1821571399 | Premier Medical Imaging LLC | Radiology | 2855 Miller Dr Ste 113, Plymouth, IN 46563-8091 | 2018-09-11 |
1922594225 | Lutheran Health Imaging LLC | Radiology | 1700 Alber St Ste 103, Wabash, IN 46992-1015 | 2018-07-10 |
1467964718 | Columbus Radiology Physicians LLC | Radiology | 2400 E. 17th Street, Columbus, IN 47201 | 2017-10-26 |
1093166274 | Medical Scanning Consultants, P.a. | Radiology | 3802 W Industrial Blvd, Suite 4, Bloomington, IN 47403-5141 | 2016-06-28 |
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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.