SIMON JOSEPH MADORSKY


Address: 180 Newport Center Dr, 158, Newport Beach, CA 92660-6972
Phone: 9497191800

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A500750 05
RAILROAD MEDICARE P01404246 01
RAILROAD MEDICARE P00002596 01

Office Location

Street Address 180 NEWPORT CENTER DR
158
City NEWPORT BEACH
State CA
Zip Code 92660-6972

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City NEWPORT BEACH
Zip Code 92660

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Dataset Information

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.

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