Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770689747 Individual Practitioner Male Practitioner

Dr. John J Magnuson , MD

Pediatrics • Sparta, MO

Professional Overview & Biography Verified Profile Summary

Dr. John Magnuson, MD is a registered healthcare professional specializing in Pediatrics in Sparta, MO. Practice services are available at 155 VILLAGE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

155 Village Dr

Sparta, MO 657538104

Telephone 4176344203
Fax 4176344505
Associated Practice Facility / Clinic
🏢 Bridges Medical Services P.c. Facility NPI 1972620383

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Sparta, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Sparta, MO (1616 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-16
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MO 2002019251

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
205921703 (MO)
Medicaid State Provider ID
1770689747 (MO)
Commercial Insurance / Payer ID Rr Medicare
P00361139

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Tara Loveland , NP-C

Nurse Practitioner

NPI 1003389941

Nurse Practitioner (Certified)

Katrina Selsor , NP

Nurse Practitioner - Primary Care

NPI 1073020673

Nurse Practitioner

Dr. Arthur Cohn , DO

Internal Medicine

NPI 1215932488

Doctor of Osteopathic Medicine (D.O.)

Taylor Heath , FNP

Nurse Practitioner - Primary Care

NPI 1518602259

Family Nurse Practitioner

Bryan Logan , FNP

Nurse Practitioner - Family

NPI 1548450349

Family Nurse Practitioner

Dr. Fernando Cavero , MD

Internal Medicine

NPI 1669545711

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 28, 2020

Registered at 155 VILLAGE DR, SPARTA, MO 657538104 (Tel: 4176344203)

📍
Updated Business Mailing Address January 28, 2020

Registered at 155 VILLAGE DR, SPARTA, MO 657538104 (Tel: 4176344203)

NPI Profile Active June 16, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 16, 2011

Registered at 105 S RIDGECREST AVE, NIXA, MO 657147807 (Tel: 4177258250)

📍
Updated Business Mailing Address June 16, 2011

Registered at 105 S RIDGECREST AVE, NIXA, MO 657147807 (Tel: 4177258250)

👤
Provider Name / Credentials Updated June 16, 2011

Recorded as JOHN MAGNUSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2011

Pediatrics (License #2002019251 in MO)

🟢
Initial NPI Registration & Enumeration September 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770689747
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 16, 2006
Last Update: October 16, 2023
Sole Proprietor: No

Mailing Address

155 Village Dr

Sparta, MO 657538104

Phone: 4176344203

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.