A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Neonatal-Perinatal Medicine |
2080N0001X | 37 | Physician/Pediatric Medicine | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Maternal & Fetal Medicine |
207VM0101X | 16 | Physician/Obstetrics & Gynecology | |
Neonatal |
363LN0000X | 50 | Nurse Practitioner | |
Neurocritical Care |
2084A2900X | 86 | Physician/Neuropsychiatry | |
Neurodevelopmental Disabilities |
2080P0008X | 37 | Physician/Pediatric Medicine | |
Pediatric Cardiology |
2080P0202X | 37 | Physician/Pediatric Medicine |
| NPI # | 1083631071 |
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| LBN Legal business name | MAGELLA MEDICAL ASSOCIATES BILLING, INC. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Authorized official | MICHAEL DWYER - (ASSISTANT SECRETARY) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Organization subpart 1 | Yes | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Enumeration date | 07/16/2006 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Last updated | 04/07/2025 - More than a year ago | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Identifiers |
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