DR. EVAN JARED MADOW (NPI# 1548319817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548319817 |
Entity Type | Individual |
Full Name | DR. EVAN JARED MADOW |
Credential | D.C. |
Practice Address |
7500 Bryan Dairy Rd Suite A Largo FL 33777-1437 |
Practice Telephone | 7275488100 |
Practice Fax Number | 7275488112 |
Mailing Telephone | 7275488100 |
Mailing Fax Number | 7275488112 |
Enumeration Date | 2007-01-09 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH0006389 | FL | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BLUE CROSS BLUE SHIELD | 22693 | 01 |
FL | UNITED HEALTHCARE | 44-88108 | 01 |
Street Address |
7500 BRYAN DAIRY RD SUITE A |
City | LARGO |
State | FL |
Zip Code | 33777-1437 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760475982 | Jeffrey Andrew Worman | Podiatrist | 7500 Bryan Dairy Rd, Suite B, Largo, FL 33777-1437 | 2005-08-23 |
1093990376 | Worman Foot and Ankle Associates | Podiatrist | 7500 Bryan Dairy Rd, Largo, FL 33777-1437 | 2008-01-04 |
1881882116 | Worman Foot and Ankle Associates LLC | Podiatrist | 7500 Bryan Dairy Rd, Suite B, Largo, FL 33777-1437 | 2007-10-11 |
1629194097 | Bardmoor Chiropractic Center, Inc. | Chiropractor | 7500 Bryan Dairy Rd, Suite A, Largo, FL 33777-1437 | 2007-03-21 |
1952446148 | Alan D. Shoopak D.m.d.,p.a. | Dentist | 7500 Bryan Dairy Rd, Largo, FL 33777-1437 | 2007-02-21 |
1003972480 | Machelle Ann Perkins | Acupuncturist | 7500 Bryan Dairy Rd, Suite A, Largo, FL 33777-1437 | 2006-12-29 |
1538242532 | David W Piper | Dentist | 7500 Bryan Dairy Rd, Suite C, Largo, FL 33777 | 2006-10-23 |
1689762551 | Mark D Sokolov | Dentist | 7500 Bryan Dairy Rd, Suite C, Largo, FL 33777 | 2006-10-10 |
1962590836 | Sokolov and Piper Pa | Dentist | 7500 Bryan Dairy Rd, Suite C, Largo, FL 33777 | 2006-10-10 |
1568431989 | Bella Rebecca Worman | Podiatrist | 7500 Bryan Dairy Rd, Suite B, Largo, FL 33777-1437 | 2006-03-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649824194 | Michael Abenoja | Chiropractor | 9824 83rd Street, Seminole, FL 33777 | 2019-08-01 |
1922585405 | Patricia Ann Nickol | Developmental Therapist | 8988, 79th Ave N, Seminole, FL 33777 | 2018-07-26 |
1558748855 | Angel Flights, LLC | Ambulance | 10294 Shady Oak Lane, Seminole, FL 33777 | 2015-05-06 |
1831583350 | Cecilia Leticia Chandler | Nurse Practitioner | 9048 109th Terrace North, Largo, FL 33777 | 2015-03-23 |
1699024596 | Betsy Silverio | Social Worker | 8700 Flamevine Ave, Seminole, FL 33777 | 2012-09-06 |
1881965655 | Kayte Clifford | Speech-Language Pathologist | 9035 Bryan Dairy Road, Largo, FL 33777 | 2012-01-25 |
1750666913 | Lawrence Daniel Williams | Surgery | 8235 Lapin Ct., Seminole, FL 33777 | 2011-10-19 |
1033433107 | Josephine C Eligado | Anesthesiology | 8764 Baywood Park Drive, Seminole, FL 33777 | 2010-03-18 |
1811222847 | Clearwater Surgical Associates, Pllc | Surgery | 8839 Bryan Dairy Road, Suite 310, Largo, FL 33777 | 2009-10-08 |
1811154826 | Joseph J Arvilla | Registered Nurse | 9476 88th Terrace North, Seminole, FL 33777 | 2008-05-19 |
Find all providers in zip 33777 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194346007 | Crystal Corona | Chiropractor | 12763 Cumberland Dr, Largo, FL 33773-1604 | 2020-05-01 |
1073154597 | Alicia M Orbea | Chiropractor | 1260 W Bay Dr Ste A, Largo, FL 33770-2249 | 2019-10-06 |
1730619081 | Randall Matulka | Chiropractor | 2310 Tall Pines Dr Ste 220, Largo, FL 33771-5349 | 2017-06-19 |
1255880233 | Blue Q Health and Wellness Pllc | Chiropractor | 2480 E Bay Dr Ste 13, Largo, FL 33771-2467 | 2016-10-01 |
1518339647 | Harting Spine and Joint LLC | Chiropractor | 2178 E Bay Dr, Largo, FL 33771-2323 | 2015-10-28 |
1043694250 | Julia Harter | Chiropractor | 9695 93rd St, Largo, FL 33777-2145 | 2015-07-17 |
1760746846 | Duyen Ngo | Chiropractor | 13119 66th St, Largo, FL 33773-1812 | 2012-07-03 |
1003192030 | Carmelo Ramirez IIi | Chiropractor | 405 Seminole Blvd, Largo, FL 33770-3620 | 2011-10-21 |
1154631570 | Keith W. Fady,d.c.p.a. | Chiropractor | 14100 Walsingham Rd, Suite 35, Largo, FL 33774-3248 | 2010-10-19 |
1346411295 | Michael K Roberts Dc Pa | Chiropractor | 2001 W Bay Dr, Largo, FL 33770-4920 | 2008-03-19 |
Find all providers in LARGO |
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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.