MADISON MEDICAL, LLC (NPI# 1649870700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649870700 |
| Entity Type | Organization |
| Organization Name | MADISON MEDICAL, LLC |
| Practice Address |
701 Cedar Lake Blvd Ste 151 Oklahoma City OK 73114-7818 |
| Mailing Address |
Po Box 187 Fairfax OK 74637-0187 |
| Practice Telephone | 4054631999 |
| Mailing Telephone | 9186425310 |
| Mailing Fax Number | 9186423690 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | WILLIAM LANCE MADISON (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 9186425492 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | MADISON MEDICAL, LLC | 115 W Maple, Fairfax, OK 74637 |
| Street Address |
701 CEDAR LAKE BLVD STE 151 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73114-7818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124669783 | Heather Williams | Occupational Therapist | 1404 Nw122nd St, Oklahoma City, OK 73114 | 2019-10-04 |
| 1477194033 | Shonta Jones | Technician | 10723 Norh Western, Apartment G, Oklahoma City, OK 73114 | 2019-10-04 |
| 1023537644 | Tracye Carter | Registered Nurse | 812 Nw 121 Terr, Oklahom City, OK 73114 | 2017-09-14 |
| 1003362849 | Randy Joshua Williamson | Behavioral Analyst | 101 Bainbridge Rd, Oklahoma City, OK 73114 | 2016-08-31 |
| 1427413368 | John Adrian Howard | Physical Therapist | 13100 N Western Ave Ste 302, Oklahoma City, OK 73114 | 2015-12-18 |
| 1497150197 | Payam Ishani Afousi | Dentist | 9405 N. Penn Place, Casady Square, Oklahoma City, OK 73114 | 2014-10-24 |
| 1922407386 | Kelvin Hughes | Counselor | 1400 Nw 105th Ter, Oklahoma City, OK 73114 | 2014-08-21 |
| 1285056887 | Malarie Jackson | Nurse Practitioner | 609 W. Memorial Rd., Oklahoma City, OK 73114 | 2014-01-16 |
| 1508108705 | Adam Liberty | Community/Behavioral Health | 428 N.w 81st, Oklahoma City, OK 73114 | 2013-03-26 |
| 1780926345 | Michelle D Hardimon | Behavioral Analyst | 700 Ne 122nd Apt 4509, Oklahoma City, OK 73114 | 2013-03-21 |
| Find all providers in zip 73114 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033755426 | Saint Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 1110 N Lee Ave Ste 200, Oklahoma City, OK 73103-2612 | 2019-11-21 |
| 1235775628 | Saint Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 13500 S Tulsa Dr Ste 301, Oklahoma City, OK 73170-9721 | 2019-11-21 |
| 1225674617 | Saint Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 3400 S Douglas Blvd Ste 302, Oklahoma City, OK 73150-1018 | 2019-11-21 |
| 1871140822 | Rs Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 8126 W Britton Rd Apt 1, Oklahoma City, OK 73132-1364 | 2019-08-23 |
| 1568015659 | Epic Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2249 Nw 39th St, Oklahoma City, OK 73112-8831 | 2019-07-18 |
| 1033761366 | Dmeworx LLC | Durable Medical Equipment & Medical Supplies | 3114 Nw 42nd St, Oklahoma City, OK 73112-6224 | 2019-07-16 |
| 1144795634 | Rto Distributors, LLC | Durable Medical Equipment & Medical Supplies | 7725 W Reno Ave Ste 399, Oklahoma City, OK 73127-9712 | 2018-10-10 |
| 1801374822 | Ventilateok LLC | Durable Medical Equipment & Medical Supplies | 4401 Nw 4th St Ste 133, Oklahoma City, OK 73107-6540 | 2018-08-01 |
| 1841785888 | 180 Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5324 W Reno Ave Ste A, Oklahoma City, OK 73127-6359 | 2018-06-22 |
| 1679073183 | Dezjuan Vonte Jackson | Durable Medical Equipment & Medical Supplies | 10461 N May Ave, Oklahoma City, OK 73120-2610 | 2018-02-20 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73114 |
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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.