Individual provider Active NPI

Thomas D Magnell, MD

  • Orthopaedic Hand Surgery Physician
  • Beverly Hills, MI
National Provider Identifier
1265414189
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
4301029539 Issued in MI
Practice address
17877 W 14 Mile Rd
Beverly Hills, MI 48025-3127
Phone
(248) 644-3920
Fax
(248) 644-2569
NPI assigned
Nov 16, 2005
Last updated
Jul 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 4301029539 MI Primary

Addresses

Primary practice location

17877 W 14 Mile Rd
Beverly Hills, MI 48025-3127

Mailing address

17877 W 14 Mile Rd
Beverly Hills, MI 48025-3127
Phone (248) 644-3920

Other identifiers 1

IdentifierTypeStateIssuer
1083563MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1265414189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17877 W 14 MILE RD",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480253127",
            "telephone_number": "248-644-3920",
            "fax_number": "248-644-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17877 W 14 MILE RD",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480253127",
            "telephone_number": "248-644-3920",
            "fax_number": "248-644-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNELL",
        "first_name": "THOMAS",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "MI",
            "license": "4301029539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083563",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.