Cardinal Management PMS LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

350258021888 Issued in MI

Legal business name

CARDINAL MANAGEMENT PMS LLC

Practice address

29441 John R Rd Unit 71110
Madison Heights, MI 48071-7104

Phone

(313) 663-0333

Fax

(313) 406-7255

NPI assigned

Aug 22, 2016

Organization subpart

No

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

Authorized official

Name

Fouad Baydoun, BACHELOR

Title

Physical Therapist

Phone

(313) 663-0333

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1659826451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29441 JOHN R RD UNIT 71110",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480717104",
            "telephone_number": "313-663-0333",
            "fax_number": "313-406-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29441 JOHN R RD UNIT 71110",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480717104",
            "telephone_number": "313-663-0333",
            "fax_number": "313-406-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL MANAGEMENT PMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "BAYDOUN",
        "authorized_official_first_name": "FOUAD",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "313-663-0333",
        "authorized_official_credential": "BACHELOR"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MI",
            "license": "350258021888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Madison Heights, MI
• Providers in Madison Heights, MI by specialty
• Prosthetic/Orthotic Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.