MICHAEL D. MADDOX (NPI# 1447338124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447338124 |
Entity Type | Individual |
Full Name | MICHAEL D. MADDOX |
Credential | MD |
Practice Address |
1600 Eureka Rd Roseville CA 95661-3027 |
Mailing Address |
1800 Harrison St Fl 7 Oakland CA 94612-3429 |
Practice Telephone | 9167844000 |
Mailing Telephone | 5106256262 |
Enumeration Date | 2006-11-01 |
Last Update Date | 2009-02-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
G39158 | CA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700497443 | Michael Cameron Maddox | Registered Nurse | 742 Bonnie Ln, Brentwood, CA 94513-5460 | 2020-08-16 |
1427279975 | Michael L Maddox | Dentist | 513 S 3rd Street, Gadsden, AL 35901 | 2007-05-01 |
1528104486 | Michael Wayne Maddox | Psychiatry & Neurology | 4141 Red Hill Rd, Vallecito, CA 95251 | 2007-01-29 |
1134137169 | Michael Dawson Maddox | Physician Assistant | 951 New Salem Hwy, Murfreesboro, TN 37129 | 2006-08-04 |
1760960272 | Michael Maddox | Respiratory Therapist, Certified | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2018-08-06 |
1144719998 | Michael J Maddox | Counselor | 6100 S Walker Ave, Oklahoma City, OK 73139-7026 | 2018-05-08 |
1568768158 | Michael Maddox | Physician Assistant | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 | 2011-01-31 |
1790914893 | Michael Stephen Maddox | Physical Therapist | 142 W 3rd St, Luverne, AL 36049-1348 | 2009-07-09 |
1356503833 | Michael Maddox | Urology | 200 W Esplanade Ave, Suite 210, Kenner, LA 70065-2489 | 2008-06-26 |
1821031865 | Michael Maddox | Internal Medicine | 6820 Parkdale Pl, Ste. 100, Indianapolis, IN 46254-6601 | 2006-06-14 |
Street Address |
1600 EUREKA RD |
City | ROSEVILLE |
State | CA |
Zip Code | 95661-3027 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851393524 | Lianna Marie Edwards | Nurse Practitioner | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2005-08-12 |
1659983138 | Armaan Sahota | Pharmacist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2020-08-17 |
1356953970 | Jenny Ear | Pharmacist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2020-08-17 |
1447868773 | Courtney L Kerstetter | Physical Therapist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2020-07-22 |
1982221321 | Diane Leszczynski | Dietitian, Registered | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2020-07-01 |
1114554409 | Ascension Thiele-ruiz | Registered Nurse | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2020-03-25 |
1184264582 | Amandeep Singh Raikhy | Pharmacist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2020-01-14 |
1508405481 | Mung Huynh | Pharmacist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2019-12-25 |
1063059319 | Cecille Truong | Pharmacist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2019-12-05 |
1952943748 | Kayli Scanlon | Dietitian, Registered | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2019-10-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
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Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700103249 | Dana R Jacques Md Inc | Obstetrics & Gynecology | 1082 Sunrise Ave, Suite 190, Roseville, CA 95661-4302 | 2010-04-23 |
1306048624 | Olivia T Juhn | Obstetrics & Gynecology | 5 Medical Plaza Drive, Suite 250, Roseville, CA 95661-2868 | 2007-05-31 |
1568592343 | Thomas A. Drabecki D.o.p.c. | Obstetrics & Gynecology | 18285 E 10 Mile Rd Ste 150, Roseville, MI 48066-5808 | 2007-03-07 |
1730267469 | Andrew J. Walter | Obstetrics & Gynecology | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-11-01 |
1568429660 | Richard Joel Leach | Obstetrics & Gynecology | 5 Medical Plaza Dr, Suite 250, Roseville, CA 95661-2868 | 2006-05-01 |
1235107947 | Harold G Burton | Obstetrics & Gynecology | 5 Medical Plaza Dr, Suite 250, Roseville, CA 95661-2868 | 2006-03-09 |
1821065954 | Stuart G Bostrom | Obstetrics & Gynecology | 5 Medical Plaza Dr, Suite 250, Roseville, CA 95661-2868 | 2006-03-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013526862 | My Optimal Life | Obstetrics & Gynecology | 72301 Country Club Dr Ste 105, Rancho Mirage, CA 92270-8007 | 2020-07-28 |
1740833078 | Lillian Shumate Md | Obstetrics & Gynecology | 1401 Spanos Ct Ste 124, Modesto, CA 95355-2814 | 2019-07-16 |
1568927754 | J Kingsley Fife | Obstetrics & Gynecology | 1165 Las Pulgas Pl, Pacific Palisades, CA 90272-2440 | 2019-02-01 |
1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
1396253340 | Yasharpour Medical Doctor, Inc A Professional Medical Corporation | Obstetrics & Gynecology | 21013 Sherman Way Ste 4, Canoga Park, CA 91303-3675 | 2018-01-11 |
1851828222 | Desert Valley Obgyn Inc | Obstetrics & Gynecology | 39000 Bob Hope Dr Ste 303, Rancho Mirage, CA 92270-3221 | 2017-05-17 |
1295274660 | Koe Medical Consulting, Inc. | Obstetrics & Gynecology | 5680 Trinidad Way, San Diego, CA 92114-5310 | 2017-02-18 |
1518404441 | Women's Health Care Research Corporation | Obstetrics & Gynecology | 3750 Convoy St Ste 311, San Diego, CA 92111-3741 | 2017-01-30 |
1730626722 | Aela Paiz Do Inc | Obstetrics & Gynecology | 9620 Clybourn Ave, Sun Valley, CA 91352-1623 | 2017-01-27 |
1538521125 | Randal Sloop Md Inc | Obstetrics & Gynecology | 2068 Talbert Dr Ste 150, Chico, CA 95928-7723 | 2016-03-23 |
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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.