DR. JOHN COULTER MADDOX (NPI# 1053309542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053309542 |
| Entity Type | Individual |
| Full Name | DR. JOHN COULTER MADDOX |
| Credential | MD |
| Practice Address |
500 J Clyde Morris Blvd Newport News VA 23601-1929 |
| Mailing Address |
5700 Southwyck Blvd Toledo OH 43614-1509 |
| Practice Telephone | 7575942160 |
| Mailing Telephone | 8002888325 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2018-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
0101032554 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 220017179 | 01 | |
| VA | 006660819 | 05 | |
| NC | 890559X | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790837508 | John L. Maddox | Dermatology | 1300 S Eliseo Dr Ste 207, Greenbrae, CA 94904-2015 | 2007-01-18 |
| 1528122256 | John Specht Maddox | Surgery | Walter Reed National Military Ctr, 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2006-12-20 |
| 1467546648 | John F. Maddox IIi | Obstetrics & Gynecology | 3023 Hamaker Ct, Suite 210a, Fairfax, VA 22031-2222 | 2006-10-03 |
| 1477575868 | John F Maddox | Family Medicine | 835 S Three Notch St, Andalusia, AL 36420-5321 | 2006-07-24 |
| 1104801208 | John Mark Maddox | Surgery | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2005-12-12 |
| 1801887229 | John L Maddox | Pediatrics | 500 Salem St, Wilmington, MA 01887-1200 | 2005-11-03 |
| 1487640801 | John Alton Maddox | Dentist | 8076b Spring Run Rd, Fairhope, AL 36532-3854 | 2005-09-21 |
| Street Address |
500 J CLYDE MORRIS BLVD |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23601-1929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851397343 | Camelia Pana | Internal Medicine | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2005-06-21 |
| 1538769724 | Jessica L Adams | Nurse Practitioner | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2020-10-28 |
| 1902424526 | Danh Nguyen | Pharmacist | 500 J Clyde Morris Blvd, Fourth Floor East, Newport News, VA 23601-1929 | 2020-07-09 |
| 1700402534 | Jennifer Towne Noble-treacy | Nurse Practitioner | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2020-06-17 |
| 1356962419 | Kimberly Mrofchak | Student in an Organized Health Care Education/Training Program | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2020-04-29 |
| 1598384380 | David Wallington | Student in an Organized Health Care Education/Training Program | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2020-04-11 |
| 1588293948 | Joshua David Kirbens | Student in an Organized Health Care Education/Training Program | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2020-04-07 |
| 1700415148 | Gregory Arthur Boyer | Student in an Organized Health Care Education/Training Program | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2020-04-07 |
| 1275162836 | Alanna D'amelio | Student in an Organized Health Care Education/Training Program | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2020-04-06 |
| 1750910428 | Rachel Clare Yestrebi | Student in an Organized Health Care Education/Training Program | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2020-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809235 | Joshua Alan Albert | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Center 10510 Jefferson Ave, Suite A, Newport News, VA 23601 | 2020-04-14 |
| 1053959957 | Sisters In Homecare LLC | Home Health | 716 J Clyde Morris Blvd, Newport News, VA 23601 | 2019-12-11 |
| 1811450638 | Kevin Lavender | Student in an Organized Health Care Education/Training Program | Riverside Brentwood Medical Center, 10510 Jefferson Avenue Suite A, Newport News, VA 23601 | 2019-04-09 |
| 1578025532 | Cortlandt Mercy Sellers | Student in an Organized Health Care Education/Training Program | Riverside Regional Medical Center, 500 J Clyde Morris Blvd, 2 Annex, Newport News, VA 23601 | 2019-04-01 |
| 1407352974 | Stephen Leinfelder | Student in an Organized Health Care Education/Training Program | 500 J. Clyde Morris Blvd., Dept. of Medical Education, Second Floor Annex, Newport News, VA 23601 | 2018-04-03 |
| 1104359132 | Nicholas Alexander Austin | Student in an Organized Health Care Education/Training Program | 500 J. Clyde Morris Blvd., Second Floor Annex, Riverside Transitional Internship Program, Newport News, VA 23601 | 2017-04-06 |
| 1609312883 | Bright Nii Lante Lamptey | Pharmacist | 600 J Clyde and Morris Blvd, Newport News, VA 23601 | 2017-01-12 |
| 1417490517 | Justin Chamblee | Pharmacist | 671 J. Clyde Morris Blvd, Newport News, VA 23601 | 2016-11-22 |
| 1447706080 | Megan Elizabeth Cobb | Physician Assistant | 500 J Clyde Morrisl Blvd, Suite 603, Newport News, VA 23601 | 2016-09-01 |
| 1669815957 | Christina Michelle Wray Mcmillan | Nurse Practitioner | 416 J. Clyde Morris Blvd., Newport News, VA 23601 | 2013-04-17 |
| Find all providers in zip 23601 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477953578 | Jonathan Edwards | Pathology | Bon Secours Mary Immaculate Hospital, Pathology Dept, 2 Bernardine Dr, Newport News, VA 23602 | 2014-08-26 |
| 1194036350 | Damian J Tagliente | Pathology | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2010-06-23 |
| 1497072664 | Lucy Elena Defanti | Pathology | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2010-04-28 |
| 1639155492 | Theresa S Emory | Pathology | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2005-12-22 |
| 1407844806 | David Michael Smith | Pathology | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2005-10-10 |
| 1093703407 | Carolyn Fawn O'connor | Pathology | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2005-10-10 |
| 1306834858 | Peninsula Pathology Associates Incorporated | Pathology | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2005-10-10 |
| 1740278233 | Warren Bowman Helwig | Pathology | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2005-10-10 |
| 1871581280 | Michael Alan Schwartz | Pathology | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2005-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952821308 | Patricija Zot | Pathology | 1250 E Marshall St # 980662, Richmond, VA 23298-5051 | 2017-06-26 |
| 1508248949 | Rajeswari Jayakumar | Pathology | 403 N. 13th Street, Csc, Richmond, VA 23298 | 2015-06-22 |
| 1891192209 | Pepper Path LLC | Pathology | 45945 Trefoil Ln, Unit 175, Sterling, VA 20166-4343 | 2014-12-01 |
| 1629481700 | David Phillip Lebel II | Pathology | 1 Riverside Cir Ste 105, Roanoke, VA 24016-4961 | 2014-06-06 |
| 1710304761 | Sara Ali Mustafa | Pathology | 3289 Woodburn Rd Ste 220, Annandale, VA 22003-7313 | 2014-03-27 |
| 1215376959 | Angela Yu-jye Wu | Pathology | 1215 Lee Street - Box Number 800214, Charlottesville, VA 22908-0001 | 2013-06-16 |
| 1043529365 | Alden W Dudley Jr. | Pathology | 5909 Winnbrook Dr, Roanoke, VA 24018-7903 | 2010-10-04 |
| 1649582412 | Vasavi Kaliki | Pathology | 4505 Yorkminster Dr, Glen Allen, VA 23060-6157 | 2010-07-09 |
| 1063737146 | William F. Enos, M.d., Pllc | Pathology | 10300 Spotsylvania Avenue, Suite 130, Fredericksburg, VA 22408 | 2010-04-01 |
| 1992038749 | Gustavo Y. Vargas, M.d., Inc | Pathology | 3906 Bainbridge Blvd, Chesapeake, VA 23324-1610 | 2009-09-11 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT NEWS |
| Zip Code | 23601 |
Please comment or provide details below to improve the information on DR. JOHN COULTER MADDOX.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.