KEVIN W MADDOX (NPI# 1598082398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598082398 |
| Entity Type | Individual |
| Full Name | KEVIN W MADDOX |
| Credential | DO |
| Practice Address |
1921 Stonecipher Blvd Ada OK 74820 |
| Mailing Address |
Po Box 20452 Sopa/apa Cred Columbus OH 43220-0452 |
| Practice Telephone | 5804214570 |
| Practice Fax Number | 6144422430 |
| Mailing Telephone | 6144422406 |
| Mailing Fax Number | 6144422410 |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2016-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
5590 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992174114 | Kevin C Maddox | Nurse Practitioner | 1 Tampa General Cir, Suite A327, Tampa, FL 33606-3571 | 2015-09-17 |
| Street Address |
1921 STONECIPHER BLVD |
| City | ADA |
| State | OK |
| Zip Code | 74820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316945363 | Jerry S Morgan | Internal Medicine | 1921 Stonecipher Blvd, Ada, OK 74820-3439 | 2005-07-13 |
| 1568967602 | Pamela Kelli Grafton | Student in an Organized Health Care Education/Training Program | 1921 Stonecipher Blvd, Ada, OK 74820 | 2018-03-29 |
| 1396273314 | Mohammed R. Kayyali | Dentist | 1921 Stonecipher Blvd, Ada, OK 74820 | 2017-06-03 |
| 1174063903 | Chickasaw Nation Division of Health | Medicare Defined Swing Bed Unit | 1921 Stonecipher Blvd, Ada, OK 74820-3439 | 2017-02-27 |
| 1891247466 | Nissa Harrington | Dietitian, Registered | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-10-31 |
| 1437605078 | Mara Michael | Physical Therapist | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-09-01 |
| 1427505072 | Tammy Gearhart | Registered Nurse | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-09-01 |
| 1588017131 | Jeffrey Wells | Physical Therapist | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-07-19 |
| 1801254792 | Ashley Curtis | Nurse Practitioner | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-02-05 |
| 1053778514 | Darlene Seck | Dietitian, Registered | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-01-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
| 1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
| 1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
| 1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
| 1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
| 1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
| 1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
| 1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
| Find all providers in zip 74820 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285923045 | Feliza Achacoso Alcid | Pathology | 7940 Ashwood Dr Se, Ada, MI 49301-9208 | 2011-04-01 |
| 1083606149 | G. Frank Cartmell | Pathology | 421 N Monte Vista St, Ada, OK 74820-4609 | 2005-08-16 |
| 1174734495 | John Wesley Mooring | Pathology | 421 N Monte Vista St, Ada, OK 74820-4609 | 2007-05-25 |
| 1306940689 | Anatomical Pathology Associates, Inc. | Pathology | 421 N Monte Vista St, Ada, OK 74820-4609 | 2006-09-08 |
| 1508978149 | Southern Oklahoma Pathology Assoc., Inc. | Pathology | 421 N Monte Vista St, Ada, OK 74820-4609 | 2006-08-31 |
| 1902898034 | Bruce M. Van Horn | Pathology | 421 N Monte Vista St, Ada, OK 74820-4609 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241481 | Sara Abu Mehsen | Pathology | 940 Stanton L Young Blvd Ste 451, Oklahoma City, OK 73104-5020 | 2020-07-02 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1457795270 | Wenyi Luo | Pathology | 1122 Ne 13th St # Ori236, Oklahoma City, OK 73117-1039 | 2013-04-23 |
| 1679826754 | Beverly J Rubino | Pathology | 8406 N 123rd East Ave, Owasso, OK 74055-2130 | 2012-10-26 |
| 1629399662 | Justin D. Jenkins | Pathology | 940 Sl Young Blvd, Wp 451, Oklahoma City, OK 73104-5020 | 2010-06-14 |
| 1902049141 | Corinna A Irwin | Pathology | 4208 Sw Lee Blvd Dept Of, Lawton, OK 73505-8331 | 2009-04-17 |
| 1366603953 | Rebecca S Simstein | Pathology | 940 Stanton L Young Blvd # 453, Oklahoma City, OK 73104-5020 | 2008-06-17 |
| 1083874168 | Chrystal Marjenhoff Pauley | Pathology | 940 Stanton L Young Blvd # 451, Oklahoma City, OK 73104-5020 | 2008-06-12 |
| 1619184900 | Xiao-cong Peng | Pathology | 840 Research Parkway, Dept. of Pathology, Labcorp At Okc, Oklahoma City, OK 73104 | 2007-05-17 |
| 1760520555 | Physicians Pathology Inc | Pathology | 17936 S 273rd W Ave, Bristow, OK 74010 | 2007-02-02 |
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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.