C.R. MAGNESS M.D. – NPI #1548345606
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

C.R. MAGNESS is a physician located in FAYETTEVILLE, AR. NPPES has assigned the NPI number 1548345606 to C.R. MAGNESS on October 26, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his other name CARL MAGNESS. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

The NPI profile was previously updated about 11 years ago on May 15, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for C.R. MAGNESS below.

NPI Profile for
CARL R. MAGNESS

NPI Number
1548345606
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CARL R. MAGNESS
Professional Name: C.R. MAGNESS
Credentials
M.D.
Primary location
102 W DICKSON ST
FAYETTEVILLE, AR 72701-5219
Phone: (479) 521-1114 Fax: (479) 521-2540
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for C.R. MAGNESS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERDRIVERS LICENSEAR926497965
MEDICAIDAR106381001
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)
AR C4954

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.