| NPI | 1124115126 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-10-10 |
| Last Updated | 2021-01-22 |
| Mailing Address | 7550 N Dale Mabry Hwy Tampa, FL 33614-3226 United States Phone: (813) 885-4706 | Fax: (813) 885-9463 📍 View Map |
| Primary Practice Address | 7550 N Dale Mabry Hwy Tampa, FL 33614-3226 United States Phone: (813) 885-4706 | Fax: (813) 885-9463 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 363A00000X – Physician Assistant | FL | PA9101889 |
| Yes | 363AM0700X – Physician Assistant, Medical | FL | PA9101889 |
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About NPI 1124115126
Derek Douglas Magnuson PA-C is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1124115126. The primary specialty listed is Physician Assistant, Medical. The provider is located in Tampa, FL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-10-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1124115126?
NPI 1124115126 belongs to Derek Douglas Magnuson PA-C, a Physician Assistant, Medical in Tampa, FL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1124115126 active?
The current status of NPI 1124115126 in the NPPES registry is Active. The record was last updated on 2021-01-22.
What specialty is NPI 1124115126?
NPI 1124115126 is classified under the taxonomy Physician Assistant, Medical. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1124115126?
You can verify NPI 1124115126 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1124115126?
The primary practice address on file for NPI 1124115126 is 7550 N Dale Mabry Hwy, Tampa, FL 33614-3226. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1124115126 issued?
NPI 1124115126 was first issued (enumerated) on 2006-10-10. The NPPES record was last updated on 2021-01-22.
Practice Location Map
Derek Douglas Magnuson is located at 7550 N Dale Mabry Hwy, Tampa, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Derek Douglas Magnuson. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1124115126. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Physician Assistant | PA9101889 | FL |
| Physician Assistant, Medical | PA9101889 | FL |