David Jeremiah Magness, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS11617 Issued in FL

Practice address

500 N Washington Ave
Suite 105
Titusville, FL 32796-2759

Phone

(321) 268-0267

Fax

(321) 268-3357

NPI assigned

Apr 15, 2009

Last updated

Nov 19, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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 Osteopathy

State licenses

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1780827048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1137",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329021137",
            "telephone_number": "321-952-9696",
            "fax_number": "321-952-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N WASHINGTON AVE",
            "address_2": "SUITE 105",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962759",
            "telephone_number": "321-268-0267",
            "fax_number": "321-268-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNESS",
        "first_name": "DAVID",
        "middle_name": "JEREMIAH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-15",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS11617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005980800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly Lynch, LAC.
• Lyza and M'Leeya Playhouse
• Melinda M Macdade, MSW
• Zoe Faye Magill, LMT MMP
• Alexandra Magliocco, PHARMD
• Mahan Counseling, LLC (Miracle City Counseling)
• Kailey Rose Mahan, LMHC
• Uzma Malik, M.D.
• Deborah Malone, D.O.
• Christopher M Manion, MD

• Family Medicine Physician in Titusville, FL
• Providers in Titusville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.