Active NPI
Larry N Magid, DPM
- Foot & Ankle Surgery Podiatrist
- Saint Clair Shores, MI
National Provider Identifier
1851382972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- LM000741
- Practice address
- 27609 Little Mack Ave
Saint Clair Shores, MI 48081-1833 - Phone
- (586) 294-7070
- Fax
- (586) 294-9481
- NPI assigned
- Oct 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | LM000741 | MI | 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) 294-7070
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480E014040 | Other | MI | BCBSM |
| 1092965 TYPE 13 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LM000741 | MI | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott M Homer DPM PC | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
27609 Little Mack Ave
St Clr Shores, MI 48081
Phone (586) 274-7070
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424649600000",
"number": "1851382972",
"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": "586-294-7070",
"fax_number": "586-294-9481"
},
{
"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": {
"last_name": "MAGID",
"first_name": "LARRY",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2015-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MI",
"license": "LM000741",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "480E014040",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1092965 TYPE 13",
"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 Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.