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NPI Code Detail

MEDICARE: DR. GEORGE THOMAS MAGILL MD

MEDICARE: DR. GEORGE THOMAS MAGILL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician35.053816OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972576726
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE THOMAS MAGILL MD
Provider Business Mailing Address
First Line : 11109 PARKVIEW PLAZA DR # 117
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-1701
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 433 W HIGH ST
Second Line :
City : BRYAN
State : OH
Zip : 43506-1690
Country : US
Telephone Number : 419-633-3420
Fax Number : 419-630-2155
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2006
Last Update Date : 07/01/2024

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Directions to “ DR. GEORGE THOMAS MAGILL MD” Practice Location

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