SIMON JOSEPH MADORSKY (NPI# 1447259981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447259981 |
Entity Type | Individual |
Full Name | SIMON JOSEPH MADORSKY |
Credential | M.D. |
Practice Address |
180 Newport Center Dr 158 Newport Beach CA 92660-6972 |
Mailing Address |
Po Box 6765 Orange CA 92863-6765 |
Practice Telephone | 9497191800 |
Practice Fax Number | 9497191810 |
Mailing Telephone | 7145715000 |
Mailing Fax Number | 7145715055 |
Enumeration Date | 2005-07-18 |
Last Update Date | 2015-10-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | A50075 | CA | Allopathic & Osteopathic Physicians |
N | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
A50075 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00A500750 | 05 | |
RAILROAD MEDICARE | P01404246 | 01 | |
RAILROAD MEDICARE | P00002596 | 01 |
Street Address |
180 NEWPORT CENTER DR 158 |
City | NEWPORT BEACH |
State | CA |
Zip Code | 92660-6972 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477929826 | Erin Garibaldi | Counselor | 180 Newport Center Dr, Newport Beach, CA 92660-6972 | 2015-08-19 |
1700267234 | Robert Mcharris | Dentist | 180 Newport Center Dr, Ste 210, Newport Beach, CA 92660-6972 | 2015-06-10 |
1477953511 | Newport Beach Surgical and Medical Group Inc | Dermatology | 180 Newport Center Dr, Suite 158, Newport Beach, CA 92660-6972 | 2014-08-26 |
1265872402 | Gigi Kroll Md, Apc | Clinic/Center | 180 Newport Center Dr, 265, Newport Beach, CA 92660-6972 | 2013-07-02 |
1437592169 | Reconstructive Surgery Center of Newport Beach Inc | Clinic/Center | 180 Newport Center Dr, Suite 150, Newport Beach, CA 92660-6972 | 2013-04-11 |
1215284385 | Daines Plastic Surgery Inc | Surgery | 180 Newport Center Dr, 158, Newport Beach, CA 92660-7652 | 2012-08-08 |
1609141225 | Kathryn Dyer | Dietitian, Registered | 180 Newport Center Dr, Suite 162, Newport Beach, CA 92660-6972 | 2012-03-15 |
1255608907 | Gigi Kroll Mcconnaughey | Clinic/Center | 180 Newport Center Dr, 265, Newport Beach, CA 92660-6972 | 2011-11-23 |
1457628513 | Amy Vanblaricom, Md Afc | Clinic/Center | 180 Newport Center Dr, 265, Newport Beach, CA 92660-6972 | 2011-11-17 |
1255619425 | Maggie Baumann | Marriage & Family Therapist | 180 Newport Center Dr, Suite 270, Newport Beach, CA 92660-6972 | 2011-07-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
Find all providers in zip 92660 |
Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538678867 | Ent Specialists of Orange County, Inc. | Otolaryngology | 446 Old Newport Blvd Ste 200, Newport Beach, CA 92663-4246 | 2017-09-29 |
1225260862 | David R Reinstadler | Otolaryngology | 351 Hospital Rd 305, Newport Beach, CA 92663-3505 | 2009-08-16 |
1033387931 | Todd Covington Miller | Otolaryngology | 1501 Superior Ave Ste 301, Newport Beach, CA 92663-3641 | 2008-02-13 |
1528287661 | Steven Feinberg | Otolaryngology | 351 Hospital Rd Ste 218, Newport Beach, CA 92663-3505 | 2007-04-25 |
1720203904 | Newport Harbor Otology Associates and Ear Medical Group Inc. | Otolaryngology | 901 Dover Dr Ste 205, Newport Beach, CA 92660-5500 | 2007-04-14 |
1053491142 | David A Walden Md Inc | Otolaryngology | 320 Superior Ave Ste 380, Newport Beach, CA 92663-2793 | 2006-10-16 |
1467482190 | Philip Nicholas Chironis I | Otolaryngology | 361 Hospital Rd Ste 522, Newport Beach, CA 92663-3526 | 2006-07-05 |
1649275637 | Nazih M. Haddad | Otolaryngology | 400 Newport Center Drive, 704, Newport Beach, CA 92660 | 2005-06-16 |
1902291479 | Floyd Buen | Otolaryngology | 351 Hospital Rd Ste 218, Newport Beach, CA 92663-3505 | 2015-04-01 |
1316389141 | Nazih M. Haddad, Md Inc. | Otolaryngology | 400 Newport Center Dr, 704, Newport Beach, CA 92660-7601 | 2013-07-22 |
Find all providers in NEWPORT BEACH |
City | NEWPORT BEACH |
Zip Code | 92660 |
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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.