MADIX MEDICAL CENTER, PLLC (NPI# 1134533425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134533425 |
| Entity Type | Organization |
| Organization Name | MADIX MEDICAL CENTER, PLLC |
| Practice Address |
1608 N Stockton Hill Rd Ste 101 Kingman AZ 86401-4142 |
| Practice Telephone | 9283771984 |
| Practice Fax Number | 9283771983 |
| Mailing Telephone | 9283771984 |
| Mailing Fax Number | 9283771983 |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-08-16 |
| Authorized Official Name | MS. JACEY L MITCHELL (OWNER/NURSE PRACTITIONER) |
| Authorized Official Telephone | 9283771984 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
1608 N STOCKTON HILL RD STE 101 |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86401-4142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053858704 | Robert Cole | Nurse Practitioner | 3545 Cheyenne Ave, King,an, AZ 86401 | 2017-01-19 |
| 1710420286 | Acadia Healthcare Inc | Nurse Practitioner | 2699 E Andy Devine, Suite B, Kingman, AZ 86401 | 2016-11-30 |
| 1174079800 | Kenneth Mcadow | Physical Therapist | 2404 Stockton Hill Road, Suite K, Kingman, AZ 86401 | 2016-09-01 |
| 1649659483 | Tracie Hirz | Case Manager/Care Coordinator | 3656 Packsaddle Road, Kingman, AZ 86401 | 2015-05-27 |
| 1548657695 | Chelsea Presbrey | Family Medicine | 2202 N Stockton Hill Rd Ste 100, Kingman, AZ 86401 | 2015-04-15 |
| 1649617226 | Abubakr Abdelmunim Tagelsir Abdelaziz | Internal Medicine | 2501 N Stockton Hill Rd Ste 102, Kingman, AZ 86401 | 2013-05-23 |
| 1205173325 | Patricia Jean Marko | Social Worker | 2002 Stockton Hill Road, Mohave Mental Health Clinic, Inc., Kingman, AZ 86401 | 2013-01-09 |
| 1770835316 | Hae Young Lee | Dentist | 2058 Maya Dr., Kingman, AZ 86401 | 2012-10-05 |
| 1255681623 | Hilary Radler | Specialist/Technologist | 3033 Macdonald, Kingman, AZ 86401 | 2012-09-13 |
| 1477836880 | Goodwill of Northern Arizona | Exclusive Provider Organization | 2369 Airway Avenue, Kingman, AZ 86401 | 2011-09-21 |
| Find all providers in zip 86401 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467825026 | Advanced Mobile Healthcare and Community Clinic | General Practice | 132 W A Ave, Kingman, KS 67068-1305 | 2015-11-04 |
| 1609175553 | Efren Ricardo Cano | General Practice | 2226 Hualapai Mountain Rd, Kingman, AZ 86401-8374 | 2011-03-17 |
| 1356459804 | Maurice D. Parry | General Practice | 1753 Airway Ave, Suite A, Kingman, AZ 86409-3720 | 2006-08-25 |
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| 1700408689 | Cottonwood Physician Group | General Practice | 1760 E Villa Dr Ste E&f, Cottonwood, AZ 86326-4679 | 2020-05-13 |
| 1457973406 | Pima County Physician Group | General Practice | 5155 E Farness Dr Ste 111b, Tucson, AZ 85712-2158 | 2020-05-13 |
| 1124649637 | Peoria Physician Group | General Practice | 13760 N 93rd Ave Ste 105, Peoria, AZ 85381-4260 | 2020-05-06 |
| 1366080475 | Madison Taylor Phillips | General Practice | 15741 Bering St, Ehrenberg, AZ 85334-0010 | 2019-12-19 |
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| 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.