DR. PHILLIP WALTER MAGNONE M.D. NPI 1962848705

NPI Information

NPI: 1962848705
Provider Name: DR. PHILLIP WALTER MAGNONE, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: RADIOLOGY OF INDIANA PC

PECOS Registration: Yes

Address:
9998 CROSSPOINT BLVD STE 200
INDIANAPOLIS, IN
ZIP 46256
Phone: (317) 579-2150
Get Directions

DR. Phillip Walter Magnone, M.D. is a diagnostic radiology radiology in Indianapolis, IN with 11 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Phillip Walter Magnone, M.D. NPI is 1962848705. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2013

The provider's business location address is:

9998 CROSSPOINT BLVD STE 200
INDIANAPOLIS, IN
ZIP 46256-307
Phone: (317) 579-2150
Fax: (317) 579-2130

The NPI 1962848705 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/20/2013 and was last updated on 1/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	01074659A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	300014815	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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