Jose C Magno, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

430107241 Issued in MI

Practice address

1221 South Dr
Mt Pleasant, MI 48858-3234

Phone

(989) 772-6700

NPI assigned

May 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Epmg of Michigan, P.C.

  • Emergency Medicine Physician
  • Livonia, MI
  • NPI 1386688992
  Medicare reassignment NPD
• Medical Practice Partners, LLC

  • Family Medicine Physician
  • Bay City, MI
  • NPI 1144766965
  Medicare reassignment NPD
• Michigan Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Three Rivers, MI
  • NPI 1205075074
  Medicare reassignment NPD
• Northern Michigan Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Escanaba, MI
  • NPI 1417972183
  Medicare reassignment NPD
• Michigan Emergency Physicians LLP

  • Emergency Medicine Physician
  • Clare, MI
  • NPI 1174810238
  NPD
• Michigan Emergency Physicians LLP

  • Emergency Medicine Physician
  • Hillsdale, MI
  • NPI 1770820953
  NPD
• Northern Michigan Emergenc Physicians, LLP

  • Emergency Medicine Physician
  • Sault Sainte Marie, MI
  • NPI 1922105113
  NPD
• Northern Michigan Emergency Physicians, LLP

  • Emergency Medicine Physician
  • West Branch, MI
  • NPI 1528083292
  NPD
• Central Michigan Emergency Physicians, P.C.

  • Emergency Medicine Physician
  • Big Rapids, MI
  • NPI 1598856734
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1770520926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5723 LONDONBERRIE CT",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406968",
            "telephone_number": "989-837-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 SOUTH DR",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488583234",
            "telephone_number": "989-772-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNO",
        "first_name": "JOSE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301073241",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "430107241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0F71000",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4409919",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "JM073241",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770520926",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Lorraine Mackenzie
• John Mackovjak, M.D.
• Marsha Ann Macniell, LMSW,CSW
• Mandy Madagame
• Madison Chapman PHD LP LLC
• Denise Renee Malley, LPN
• Cloe Mallory
• Carolyn Malone, LLPC
• Kathleen Maness, PT
• Cari Maniteau, MA, LPC, CAADC

• Family Medicine Physician in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.