Magno Medical LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01054491A Issued in IN

Legal business name

MAGNO MEDICAL LLC

Practice address

8315 Virginia St
Suite M
Merrillville, IN 46410-6238

Phone

(219) 736-1500

Fax

(219) 736-1551

NPI assigned

Aug 31, 2006

Last updated

Apr 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Fausto O Magno, M.D.

Title

Co-Owner

Phone

(219) 736-1500

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1497866198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8315 VIRGINIA ST",
            "address_2": "SUITE M",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106238",
            "telephone_number": "219-736-1500",
            "fax_number": "219-736-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8315 VIRGINIA ST",
            "address_2": "SUITE M",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106238",
            "telephone_number": "219-736-1500",
            "fax_number": "219-736-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNO MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "MAGNO",
        "authorized_official_first_name": "FAUSTO",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "219-736-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01054491A",
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "IN",
            "license": "01036035",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Maddox
• Madhumita Bhojraj MD,PC
• Kimberly Jo Madrigal, COTA
• Valerie Madvek
• Juwan Gordon Maffett
• Elizabeth Hong Magno, M.D.
• Sia Magnus
• Janine Kabir Magura
• Mark David Magura, D.D.S.,M.S.D.
• Maher Ajam, M.D., P.C.

• Family Medicine Physician in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.