DR. JOHN SPECHT MADDOX (NPI# 1528122256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528122256 |
| Entity Type | Individual |
| Full Name | DR. JOHN SPECHT MADDOX |
| Credential | MD |
| Practice Address |
Walter Reed National Military Ctr 8901 Wisconsin Ave Bethesda MD 20889-0001 |
| Mailing Address |
3823 Rodman St Nw Apt E23 Washington DC 20016-2816 |
| Practice Telephone | 3014002201 |
| Mailing Telephone | 2405066532 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | D0089752 | MD | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
D0089752 | MD | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790837508 | John L. Maddox | Dermatology | 1300 S Eliseo Dr Ste 207, Greenbrae, CA 94904-2015 | 2007-01-18 |
| 1467546648 | John F. Maddox IIi | Obstetrics & Gynecology | 3023 Hamaker Ct, Suite 210a, Fairfax, VA 22031-2222 | 2006-10-03 |
| 1477575868 | John F Maddox | Family Medicine | 835 S Three Notch St, Andalusia, AL 36420-5321 | 2006-07-24 |
| 1104801208 | John Mark Maddox | Surgery | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2005-12-12 |
| 1801887229 | John L Maddox | Pediatrics | 500 Salem St, Wilmington, MA 01887-1200 | 2005-11-03 |
| 1053309542 | John Coulter Maddox | Pathology | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2005-10-10 |
| 1487640801 | John Alton Maddox | Dentist | 8076b Spring Run Rd, Fairhope, AL 36532-3854 | 2005-09-21 |
| Street Address |
WALTER REED NATIONAL MILITARY CTR 8901 WISCONSIN AVE |
| City | BETHESDA |
| State | MD |
| Zip Code | 20889-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932101615 | Victor S Schneider | Specialist | Walter Reed National Military Ctr, 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2005-08-12 |
| 1457887432 | Brent Denn Nose | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2017-05-11 |
| 1508392606 | Daniel Mitsuhiro Zink | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2017-05-10 |
| 1659807964 | Donald Francis Colantonio IIi | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2017-05-05 |
| 1033645353 | Stephanie Ajuzie | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 4494 North Palmer Road, Building 10, 1st Floor, Room 10, Bethesda, MD 20889-0001 | 2017-05-05 |
| 1649705351 | Patrick Bagley | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-5669 | 2017-05-01 |
| 1578098729 | Gina Hyun | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2017-04-25 |
| 1053846568 | Coursen Schneider | Pediatrics | Walter Reed National Military Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2017-04-23 |
| 1609300276 | Alex Stanley Peters | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2017-04-20 |
| 1669906236 | Yarrow Sheldon | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2017-04-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457987034 | Michael Franco | Student in an Organized Health Care Education/Training Program | Internal Medicine - Walter Reed Nmmc, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2020-03-16 |
| 1245862135 | Kay Tomashek | Pediatrics | National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889 | 2020-02-07 |
| 1104470657 | Adam Pink | Dentist | 8901 Wisconsin Ave Building 9 Floor 2, Bethesda, MD 20889 | 2019-08-01 |
| 1659939155 | Matthew Heller | Student in an Organized Health Care Education/Training Program | Psychiatry Walter Reed National Military Medica, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-05-30 |
| 1891258034 | Jane Ann Crotteau | Student in an Organized Health Care Education/Training Program | Pediatrics Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-04-12 |
| 1417434341 | Andrea Baeder | Dentist | 8901 Wisconsin Ave Bldg 9, Floor 2, Bethesda, AA 20889 | 2018-07-24 |
| 1942741723 | John Vance | Orthotist | Wrnmmc Orthotics, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2017-03-14 |
| 1790225704 | Sylvia Best | Pharmacist | 8901 Wisconsin Avenue Wrnmmc-, Americas Building 19- Internal Medicine Suite 2820, Bethesda, MD 20889 | 2017-02-24 |
| 1255783767 | Ryan Kaye | Student in an Organized Health Care Education/Training Program | Nsa Bethesda, 8901 Wisconsin Ave, Bethesda, Md 20889, Fpo, AA 20889 | 2016-07-08 |
| 1366861221 | Tara Elizabeth Brown | Internal Medicine | 8901 Wisconsin Avenue Walter Reed Nmmc, Bethesda, MD 20889 | 2014-04-08 |
| Find all providers in zip 20889 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952942666 | Reza Moghaddasnia | Surgery | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 2019-10-03 |
| 1851353981 | Philip Wayne Perdue | Surgery | 8901 Wisconsin Avenue, Department of Surgery, National Naval Medical Center, Bethesda, MD 20889-0001 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649613845 | Howard R Champion | Surgery | 954 Melvin Rd, Annapolis, MD 21403-1316 | 2013-04-08 |
| 1669730081 | Christian Damone Cain | Surgery | 22 S Greene St Dept Of, Baltimore, MD 21201 | 2012-04-24 |
| 1033485289 | Marcie Feinman | Surgery | 2435 W. Belvedere Ave. Suite 42, Hoffberger Building, Baltimore, MD 21215 | 2012-03-31 |
| 1962506436 | Vicki Elaine Reese | Surgery | 12146 Sweet Clover Dr, Silver Spring, MD 20904-1866 | 2006-09-12 |
| 1093725301 | Jeffrey Paul Muench | Surgery | 11119 Rockville Pike Ste 409, Rockville, MD 20852 | 2006-08-09 |
| 1285661314 | Eldon Leon Hawbaker | Surgery | 11912 Indian Ln, Hagerstown, MD 21742-4204 | 2006-06-26 |
| 1003311754 | Evan Wong | Surgery | 1800 Orleans St Ste 6107, Baltimore, MD 21287 | 2018-03-26 |
| 1639684434 | Jonathan James Morrison | Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2017-12-04 |
| 1700256559 | Dimensions Healthcare Associates, Inc | Surgery | 2900 Mercy Ln, 2nd Floor, Cheverly, MD 20785-1157 | 2015-10-05 |
| 1124448162 | Patrick Franklin Walker | Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2014-04-17 |
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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.