JONATHAN PATMOR MADDUX (NPI# 1417194689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417194689 |
| Entity Type | Individual |
| Full Name | JONATHAN PATMOR MADDUX |
| Credential | MD |
| Practice Address |
518 West Gum Street Marion KY 42064-1516 |
| Mailing Address |
Po Box 559 Marion KY 42064-0559 |
| Practice Telephone | 2709655238 |
| Practice Fax Number | 2709659015 |
| Mailing Telephone | 2709655238 |
| Mailing Fax Number | 2709659015 |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2011-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 44671 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100172480 | 05 | |
| KY | ANTHEM BLUE CROSS/BLUE SHIELD | 000000723351 | 01 |
| Street Address |
518 WEST GUM STREET |
| City | MARION |
| State | KY |
| Zip Code | 42064-1516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578565156 | Howard G Maddux | Family Medicine | 518 West Gum Street, Marion, KY 42064-1516 | 2005-08-12 |
| 1760677215 | Lee Anna Boone | Nurse Practitioner | 518 West Gum Street, Marion, KY 42064-1516 | 2007-09-07 |
| 1467454041 | Family Practice Clinic Psc | Nurse Practitioner | 518 West Gum Street, Marion, KY 42064-1516 | 2005-08-12 |
| 1083616619 | Gary V James | Family Medicine | 518 West Gum Street, Marion, KY 42064-1516 | 2005-08-12 |
| 1801898440 | Alicia H Clark | Nurse Practitioner | 518 West Gum Street, Marion, KY 42064-1516 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154840924 | Tashena Elizabeth Hill | Pharmacist | 520 West Gum St., Marion, KY 42064 | 2017-09-13 |
| 1629318365 | Christopher Scott Wynn | Chiropractor | 107 Morningside Dr Ste 4, Marion, KY 42064 | 2013-02-17 |
| 1184747636 | John Jason Newcom | Chiropractor | 913 South Main Street, Marion, KY 42064 | 2007-04-09 |
| 1578684247 | Melissa Gayle Myers | Case Manager/Care Coordinator | 6654 State Road 1668, Marion, KY 42064 | 2007-04-02 |
| 1629195185 | Pennyrile District Health Department | Public Health or Welfare | 190 Industrial Dr., Marion, KY 42064 | 2007-03-22 |
| 1285747915 | Steve Evert Crider | Dentist | 913 B South Main Street, Marion, KY 42064 | 2006-08-16 |
| 1194726752 | Starkey Family Practice | Chiropractor | 789 Chapel Hill Road, Marion, KY 42064 | 2005-08-04 |
| 1659601755 | Graves County Health Department | Public Health or Welfare | 416 Central Avenue, Mayfield, KY 42064 | 2010-01-12 |
| 1245209790 | Crittenden County Hospital | General Acute Care Hospital | 520 W Gum St, Marion, KY 42064 | 2006-03-16 |
| 1841462223 | Crittenden County Hospital | Home Health | 520 West Gum St, Marion, KY 42064-0386 | 2008-03-26 |
| Find all providers in zip 42064 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| 1528525359 | Medical Wellness Clinic | Family Medicine | 79 Academy St Ste D, Marion, NC 28752-3901 | 2019-02-28 |
| 1174092720 | Carehere LLC | Family Medicine | 83333 Express Drive, Suite # D, Marion, IL 62959-8226 | 2018-11-13 |
| 1972999035 | Charles Anthony Thompson | Family Medicine | 130 University Dr Ste 1100, Marion, OH 43302-1118 | 2015-04-15 |
| 1639583164 | Central Ohio Visiting Physicians | Family Medicine | 117 N Greenwood St, Suite 4, Marion, OH 43302-3129 | 2014-06-12 |
| 1578990875 | Brian Michael Ware | Family Medicine | 5623 Hwy Us 221 South, Marion, NC 28752 | 2013-10-01 |
| 1659613362 | Crittenden Hospital Association | Family Medicine | 303 Bancario Rd., Suite 1, Marion, AR 72364-2220 | 2013-03-20 |
| 1598027765 | Jesse William Pace | Family Medicine | 5623 Highway 221 South, Marion, NC 28752-6101 | 2012-06-13 |
| 1215203708 | Qihui Joanna Liu | Family Medicine | 1713 Marion Mount Gilead Rd Ste 108, Marion, OH 43302-7868 | 2012-03-28 |
| 1356612006 | Marion Chronic Care Ltd | Family Medicine | 4501 W Deyoung St Ste B-203, Marion, IL 62959-6385 | 2012-01-25 |
| 1114213766 | Dave Parker Inc | Family Medicine | 1224 Greer Ave, Marion, VA 24354-4306 | 2011-06-22 |
| Find all providers in MARION | ||||
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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.