ERIC R MADDOCK (NPI# 1962424473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962424473 |
| Entity Type | Individual |
| Full Name | ERIC R MADDOCK |
| Credential | DO |
| Practice Address |
18 E Laurel Rd Stratford NJ 08084-1327 |
| Mailing Address |
307 S Evergreen Ave Woodbury NJ 08096-2739 |
| Practice Telephone | 8563467816 |
| Practice Fax Number | 8563466385 |
| Mailing Telephone | 8566864300 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 25MB08081000 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
18 E LAUREL RD |
| City | STRATFORD |
| State | NJ |
| Zip Code | 08084-1327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992737175 | Henry R. Schuitema | Emergency Medicine | 18 E Laurel Rd, Stratford, NJ 08084-1327 | 2006-07-07 |
| 1427674068 | Michael Morris | Student in an Organized Health Care Education/Training Program | 18 E Laurel Rd, Stratford, NJ 08084-1327 | 2020-06-19 |
| 1710503677 | Darren William Finn | Student in an Organized Health Care Education/Training Program | 18 E Laurel Rd, Stratford, NJ 08084-1327 | 2020-06-17 |
| 1588289490 | Muhammad Noman | Student in an Organized Health Care Education/Training Program | 18 E Laurel Rd, Stratford, NJ 08084-1327 | 2020-06-16 |
| 1295350171 | Adam Kandil | Student in an Organized Health Care Education/Training Program | 18 E Laurel Rd, Stratford, NJ 08084-1327 | 2020-06-16 |
| 1912523846 | Zamran Masih | Student in an Organized Health Care Education/Training Program | 18 E Laurel Rd, Stratford, NJ 08084-1327 | 2020-06-16 |
| 1780209841 | Eric W Doane | Student in an Organized Health Care Education/Training Program | 18 E Laurel Rd, Stratford, NJ 08084-1327 | 2020-06-14 |
| 1780209858 | Monica Diep | Student in an Organized Health Care Education/Training Program | 18 E Laurel Rd, Stratford, NJ 08084-1327 | 2020-06-14 |
| 1871118083 | Kajel Kiran Patel | Student in an Organized Health Care Education/Training Program | 18 E Laurel Rd, Stratford, NJ 08084-1327 | 2020-06-12 |
| 1891310017 | David Ho | Student in an Organized Health Care Education/Training Program | 18 E Laurel Rd, Stratford, NJ 08084-1327 | 2020-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780209684 | Emily Lacount | Student in an Organized Health Care Education/Training Program | Louis Balsama, D.o., Program Director, Rowansom 42 E. Laurel Rd, Stratford, NJ 08084 | 2020-06-16 |
| 1356903124 | Maziyar Daneshvar | Student in an Organized Health Care Education/Training Program | Rowansom 42 E Laurel Road, Suite 3100, Philadelphia, NJ 08084 | 2019-07-02 |
| 1598321788 | Sylvia Orozco Silberman | Student in an Organized Health Care Education/Training Program | Fm: Alison Mancuso, Do, Prog Dir, Rowansom 42 E Laurel Road, Suite 2100a, Stratford, NJ 08084 | 2019-05-14 |
| 1831682939 | Shriya Jakkidi Reddy | Student in an Organized Health Care Education/Training Program | Rowansom 42 E. Laurel Road, Suite 3100, Stratford, NJ 08084 | 2018-06-13 |
| 1003336751 | Maulik D Shah | Student in an Organized Health Care Education/Training Program | 42 East Laurel Rd, Suite 3100, Stratford, NJ 08084 | 2017-06-23 |
| 1225566946 | Bhumi Shah | Student in an Organized Health Care Education/Training Program | 18 E Laurel Road, Em: Anthony Dipasquale, Do, Prog Dir, Rowansom, Stratford, NJ 08084 | 2017-05-25 |
| 1902259393 | Ameena Javed Jiwani | Family Medicine | Rowan Som 42 E Laurel Road, Ste. 2100a, Stratford, NJ 08084 | 2016-07-20 |
| 1104276823 | Akshay Sridhar | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Suite 162, Stratford, NJ 08084 | 2016-06-14 |
| 1144692138 | Amanda Wu | Physical Therapist | 1255 Caldewell Road, Cherry Hill, NJ 08084 | 2015-10-29 |
| 1215313010 | Nathaniel Paul Havens | Student in an Organized Health Care Education/Training Program | 42 E. Laurel Rd., Suite 2100a, Stratford, NJ 08084 | 2015-08-04 |
| Find all providers in zip 08084 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487066924 | Lissa Diaz | Emergency Medicine | 18 East Laural Road, Stratford, NJ 08084 | 2014-06-02 |
| 1750693545 | Ambreen Rahman | Emergency Medicine | 13 E Laurel Rd, Stratford, NJ 08084-1364 | 2010-07-08 |
| 1164628392 | Sergey Medlenov | Emergency Medicine | 18 Laurel Road, Stratford, NJ 08084-1801 | 2007-06-25 |
| 1992737175 | Henry R. Schuitema | Emergency Medicine | 18 E Laurel Rd, Stratford, NJ 08084-1327 | 2006-07-07 |
| 1235173170 | Mansoor Sheikh | Emergency Medicine | 66d River Bend Rd, Stratford, CT 06614-8017 | 2006-06-15 |
| 1831155639 | Akbar Khan | Emergency Medicine | 215 E Laurel Rd Ste 101, Stratford, NJ 08084-1361 | 2006-04-21 |
| 1770012049 | Moeez A Khan | Emergency Medicine | 18 E Laurel Rd, Stratford, NJ 08084-1327 | 2017-06-08 |
| 1396273876 | James Lee | Emergency Medicine | 18 E Laurel Rd, Stratford, NJ 08084-1327 | 2017-05-30 |
| 1356878664 | Bryon Ahmad Sellman | Emergency Medicine | 18 E Laurel Rd, Stratford, NJ 08084-1327 | 2017-05-17 |
| 1992155758 | Katelyn Courtney | Emergency Medicine | 18 E Laurel Rd, Stratford, NJ 08084-1327 | 2016-06-13 |
| Find all providers in STRATFORD | ||||
Please comment or provide details below to improve the information on ERIC R MADDOCK.
| 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.