Provider Demographics
NPI:1588851711
Name:RICE MAGILL & ASSOCIATES PC
Entity type:Organization
Organization Name:RICE MAGILL & ASSOCIATES PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MAGILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-938-2234
Mailing Address - Street 1:229 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PUNXSUTAWNEY
Mailing Address - State:PA
Mailing Address - Zip Code:15767-1217
Mailing Address - Country:US
Mailing Address - Phone:814-938-2234
Mailing Address - Fax:814-938-3630
Practice Address - Street 1:229 N MAIN ST
Practice Address - Street 2:
Practice Address - City:PUNXSUTAWNEY
Practice Address - State:PA
Practice Address - Zip Code:15767-1217
Practice Address - Country:US
Practice Address - Phone:814-938-2234
Practice Address - Fax:814-938-3630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-02
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC003260L213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA364643OtherHIGHMARK BLUE CROSS/BLUE
PA14722-6926OtherGEISINGER / MEDICAID
PA000000090188OtherUNISON THREE RIVERS MEDPL
PA0011362640005Medicaid
PA1035572OtherGATEWAY / MEDICAID
PA201856OtherUPMC
PA14722-6926OtherGEISINGER / MEDICAID