LK MADISON MD LLC (NPI# 1447500418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447500418 |
| Entity Type | Organization |
| Organization Name | LK MADISON MD LLC |
| Practice Address |
417 S East St Corydon IA 50060-1860 |
| Mailing Address |
2213 Grand Ave Des Moines IA 50312-5305 |
| Practice Telephone | 6418722260 |
| Practice Fax Number | 6418723656 |
| Mailing Telephone | 5152373974 |
| Mailing Fax Number | 5158832692 |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |
| Authorized Official Name | DR. LOUIS KEITH MADISON (SOLE MEMBER/OWNER/PHYSICIAN) |
| Authorized Official Telephone | 6418722260 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
33436 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | IN PROCESS | 05 |
| Street Address |
417 S EAST ST |
| City | CORYDON |
| State | IA |
| Zip Code | 50060-1860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285627323 | Babar S. Ahmed | Family Medicine | 417 S East St, Corydon, IA 50060-1860 | 2005-08-24 |
| 1265042055 | Adam Rowland | Nurse Practitioner | 417 S East St, Corydon, IA 50060-1860 | 2020-08-06 |
| 1649880451 | Angela M Downs | Nurse Practitioner | 417 S East St, Corydon, IA 50060-1835 | 2020-08-06 |
| 1114568870 | Kelcey Diane Leopard | Registered Nurse | 417 S East St, Corydon, IA 50060-1835 | 2019-10-03 |
| 1740764661 | Cortney Serene Wilson | Specialist/Technologist, Other | 417 S East St, Corydon, IA 50060-1860 | 2018-09-17 |
| 1386149680 | Rachel Mcilwain | Dietitian, Registered | 417 S East St, Corydon, IA 50060-1835 | 2018-03-28 |
| 1174937494 | Stephanie Jo Perkins Mahan | Family Medicine | 417 S East St, Corydon, IA 50060-1860 | 2014-06-14 |
| 1730518150 | Southern Iowa Orthopedics LLC | Podiatrist | 417 S East St, Corydon, IA 50060-1860 | 2013-11-06 |
| 1457608911 | Nicole Marie Ruble | Physician Assistant | 417 S East St, Corydon, IA 50060-1860 | 2012-08-14 |
| 1720371198 | Galen R Daniels | Physician Assistant | 417 S East St, Corydon, IA 50060-1860 | 2011-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922214246 | Deborah Nadarevic | Pharmacist | Your Neighborhood Pharmacy, 510 E. Jefferson Street Suite A, Corydon, IA 50060 | 2007-05-15 |
| 1669697074 | Community Health Centers of Southern Iowa, Inc | Clinic/Center | 102-104 North Franklin St, Corydon, IA 50060 | 2007-04-13 |
| 1336290030 | Wolfe Clinic Eye Centers, Lc | Eyewear Supplier (Equipment, not the service) | 212 N Franklin Street, Corydon, IA 50060 | 2007-01-16 |
| 1912067455 | C and J Quality Jobs LLC | Contractor | 610 West Maple St, Corydon, IA 50060 | 2006-12-12 |
| 1417941188 | Debra Kay Neuharth | Family Medicine | 410 South Lincoln St, Corydon, IA 50060 | 2005-09-08 |
| 1922090752 | Charles A Clark | Optometrist | 212 N Franklin St, Corydon, IA 50060-1328 | 2005-08-18 |
| 1255488938 | Wayne Community School District | Local Education Agency (LEA) | 102 N Dekalb St, Corydon, IA 50060-1403 | 2007-01-04 |
| 1720607401 | Duane P Schmaltz | Pharmacist | 105 E Jackson St, Corydon, IA 50060-1408 | 2020-04-13 |
| 1669887642 | Hy Vee Inc | Pharmacy | 105 E Jackson St, Corydon, IA 50060-1408 | 2014-06-27 |
| 1336132588 | Corydon Pharmacy Inc | Pharmacy | 104 S Franklin St, Corydon, IA 50060-1518 | 2005-08-23 |
| Find all providers in zip 50060 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821411547 | Robert Picchiotti | Radiology | 2189 Saint Andrews Cir, Bettendorf, IA 52722-6655 | 2014-01-31 |
| 1295097970 | Alexander Macrae Harvin | Radiology | 5095 S Shore Dr, Clear Lake, IA 50428 | 2012-06-08 |
| 1871825281 | Gregory Day | Radiology | 2609 Bittersweet Pl, Burlington, IA 52601-2510 | 2010-02-10 |
| 1891921813 | Christopher M. Luty | Radiology | 378 N Scott Blvd, Iowa City, IA 52245-4110 | 2009-06-04 |
| 1609012145 | Kfl Radiology Plc | Radiology | 1002 River Forest Ct, Fort Dodge, IA 50501-7019 | 2009-01-06 |
| 1447400288 | Sarah Pauley | Radiology | Radiology Consultants of Iowa, Plc, 1948 1st Ave Ne, Cedar Rapids, IA 52402-5321 | 2008-09-29 |
| 1982869764 | Khaled Ali Hamada | Radiology | 801 Fifth Street, Sioux City, IA 51101-1326 | 2008-07-22 |
| 1902068083 | Ashlesha Sharma | Radiology | 3617 Ross Rd, Ames, IA 50014 | 2008-06-30 |
| 1598961187 | Shiv Patel | Radiology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242 | 2007-06-21 |
| 1164640041 | Bryan P Navarette | Radiology | 1010 4th St Sw Ste 100, Mason City, IA 50401-2856 | 2007-04-23 |
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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.