Healthcare Provider Details

I. General information

NPI: 1568620862
Provider Name (Legal Business Name): A. REIGNIER MAGSOMBOL NOHAY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2008
Last Update Date: 10/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 MCKINLEY PARK DR SUITE MRI
MARION OH
43302-6399
US

IV. Provider business mailing address

1000 MCKINLEY PARK DR SUITE MRI
MARION OH
43302-6399
US

V. Phone/Fax

Practice location:
  • Phone: 740-383-8473
  • Fax: 740-383-8695
Mailing address:
  • Phone: 740-383-8473
  • Fax: 740-383-8695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number35.092031
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: