Magnum Management Inc.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

5101007121 Issued in MI

Legal business name

MAGNUM MANAGEMENT INC.

Practice address

17600 W 8 Mile Rd
Suite 7
Southfield, MI 48075-4305

Phone

(248) 424-9749

NPI assigned

Jun 13, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Larry Herman Reid, D.O.

Title

President

Phone

(248) 424-9749

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1588078943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17600 WEST EIGHT MILE RD",
            "address_2": "SUITE 7",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754316",
            "telephone_number": "248-424-9749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17600 W 8 MILE RD",
            "address_2": "SUITE 7",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754305",
            "telephone_number": "248-424-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNUM MANAGEMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "HERMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-424-9749",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MI",
            "license": "5101007121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Jay Magder, MA, LLP
• Kyana Magee-Houston, LPC
• Marilyn Gaye Maggioncalda, RN, NP
• Sara Joyce Magier, OT
• Magnum Home Health Care Inc
• Magnum Managment
• Magnum Rehab Services,Inc.
• Jazmine Maguire
• Noor Mahjoub, DDS
• Zahid Mahmood, M.D.

• Exclusive Provider Organization in Southfield, MI
• Providers in Southfield, MI by specialty
• Exclusive Provider Organization in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.