Organization Active NPI

Larry N. Magid, DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Saint Clair Shores, MI
National Provider Identifier
1780771949
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
LARRY N. MAGID, DPM PC
Practice address
27609 Little Mack Ave
Saint Clair Shores, MI 48081-1833
Phone
(586) 294-7070
Fax
(586) 294-9481
NPI assigned
Oct 9, 2006
Last updated
Sep 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Authorized official

Name
Ms. Shawn Burton
Title
Billing Manager
Phone
(248) 471-6593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

27609 Little Mack Ave
Saint Clair Shores, MI 48081-1833

Mailing address

27609 Little Mack Ave
Saint Clair Shores, MI 48081-1833
Phone (586) 274-7070

Other identifiers 2

IdentifierTypeStateIssuer
131092965MedicaidMI
480E014040OtherMIBCBSM

National Provider Directory

National Provider Directory

Locations

27609 Little Mack Ave
St Clr Shores, MI 48081
Phone (586) 274-7070

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1780771949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27609 LITTLE MACK AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811833",
            "telephone_number": "586-274-7070",
            "fax_number": "586-274-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27609 LITTLE MACK AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811833",
            "telephone_number": "586-294-7070",
            "fax_number": "586-294-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY N. MAGID, DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "248-471-6593",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131092965",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "480E014040",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; 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.