Mamm Enterprises, LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

MAMM ENTERPRISES, LLC

Practice address

927 Franklin St SE
Huntsville, AL 35801-4306

Phone

(256) 327-7463

NPI assigned

Sep 27, 2018

Organization subpart

No

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

Authorized official

Name

Michael Cosgrove

Title

Principal

Phone

(256) 677-9809

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1497230189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 BIG COVE RD SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358011348",
            "telephone_number": "256-677-9809",
            "fax_number": "888-981-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 FRANKLIN ST SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014306",
            "telephone_number": "256-327-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMM ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "COSGROVE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "256-677-9809"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonrika Malone, MD
• Sarfina Marie Malone
• Victoria Malone, PMHNP-BC
• Margaret Maloney
• Meggin Maloney
• Managed Health Care Administration, Inc
• Mandeville Physical Therapy & Wellness, Inc
• Katelyn Elizabeth Mandeville, MED, ALC
• Matthew S Mandeville, PT,ATC
• Jason Neal Manley, LPN

• Pain Clinic/Center in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Pain Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.