Jonathan P Maddux (NPI# 1417194689, PAC ID# 0244379626) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1417194689 |
| PAC ID by PECOS | 0244379626 |
| Professional Enrollment ID | I20110721000789 |
| Full Name | Jonathan P Maddux |
| Organization Legal Name | CRITTENDEN COUNTY HOSPITAL |
| Address |
520 W Gum St Marion KY 42064-1516 |
| Phone Number | 2709655281 |
| Gender | M |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7719885938 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180095 | CRITTENDEN HEALTH SYSTEM |
| 181322 | CALDWELL MEDICAL CENTER |
| 181320 | LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC |
| 180104 | BAPTIST HEALTH PADUCAH |
| Address | Phone | Organization |
|---|---|---|
| 518 W Gum St, Marion, KY 42064-1516 | 2709655238 | FAMILY PRACTICE CLINIC PSC |
| 520 W Gum St, Marion, KY 42064-1516 | 2709655281 | CRITTENDEN COUNTY HOSPITAL |
| 520 W Gum St, Marion, KY 42064-1516 | 2709651042 | CRITTENDEN COMMUNITY HOSPITAL LLC |
| Organization Legal Name | CRITTENDEN COUNTY HOSPITAL |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric C Brown | Family Medicine | Crittenden County Hospital | 520 W Gum St, Marion, KY 42064-1516 |
| Kathy Crawford | Nurse Practitioner | Crittenden County Hospital | 520 W Gum St, Marion, KY 42064-1516 |
| Robert J Jones | Physician Assistant | Crittenden County Hospital | 520 W Gum St, Marion, KY 42064-1516 |
| Andrew P Tucker | Physician Assistant | Crittenden County Hospital | 520 W Gum St, Marion, KY 42064-1516 |
| Shana W Geary | Certified Registered Nurse Anesthetist (crna) | Crittenden County Hospital | 520 W Gum St, Marion, KY 42064-1516 |
| Terry D Durham | Certified Registered Nurse Anesthetist (crna) | Crittenden County Hospital | 520 W Gum St, Marion, KY 42064-1516 |
| Robert Larry Wright | Certified Registered Nurse Anesthetist (crna) | Crittenden County Hospital | 520 W Gum St, Marion, KY 42064-1516 |
| Thomas G Rousseau | Emergency Medicine | Crittenden County Hospital | 520 W Gum St, Marion, KY 42064-1516 |
| Stephen B Burkhart | Family Practice | Crittenden County Hospital | 117 E Main St, Salem, KY 42078-9998 |
| Street Address |
520 W GUM ST |
| City | MARION |
| State | KY |
| Zip | 42064-1516 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric C Brown | Family Medicine | Crittenden County Hospital | 520 W Gum St, Marion, KY 42064-1516 |
| Kathy Crawford | Nurse Practitioner | Crittenden County Hospital | 520 W Gum St, Marion, KY 42064-1516 |
| Robert J Jones | Physician Assistant | Crittenden County Hospital | 520 W Gum St, Marion, KY 42064-1516 |
| Andrew P Tucker | Physician Assistant | Crittenden County Hospital | 520 W Gum St, Marion, KY 42064-1516 |
| Shana W Geary | Certified Registered Nurse Anesthetist (crna) | Crittenden County Hospital | 520 W Gum St, Marion, KY 42064-1516 |
| Terry D Durham | Certified Registered Nurse Anesthetist (crna) | Crittenden County Hospital | 520 W Gum St, Marion, KY 42064-1516 |
| Robert Larry Wright | Certified Registered Nurse Anesthetist (crna) | Crittenden County Hospital | 520 W Gum St, Marion, KY 42064-1516 |
| Thomas G Rousseau | Emergency Medicine | Crittenden County Hospital | 520 W Gum St, Marion, KY 42064-1516 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hazel L Joseph | General Surgery | Kentucky Surgical and Wound Services Psc | 105 Morningside Dr, Marion, KY 42064-1269 |
| Gary V James | Family Medicine | Family Practice Clinic Psc | 518 W Gum St, Marion, KY 42064-1516 |
| Marcie A Ellington | Nurse Practitioner | Family Practice Clinic Psc | 518 W Gum St, Marion, KY 42064-1516 |
| Howard G Maddux | Family Medicine | Family Practice Clinic Psc | 518 W Gum St, Marion, KY 42064-1516 |
| Lee A. Boone | Nurse Practitioner | Family Practice Clinic Psc | 518 W Gum St, Marion, KY 42064-1516 |
| Jennifer L Brown | Nurse Practitioner | Family Practice Clinic Psc | 518 W Gum St, Marion, KY 42064-1516 |
| Alicia Howard Clark | Nurse Practitioner | Family Practice Clinic Psc | 518 W Gum St, Marion, KY 42064-1516 |
| Ghassan Yazigi | Internal Medicine | Tri-rivers Healthcare Pllc | 308 S Main St, Marion, KY 42064-1545 |
| Justin J Lewis | Physician Assistant | Tri-rivers Healthcare Pllc | 308 S Main St, Marion, KY 42064-1545 |
| Terry W Boone | Physician Assistant | Tri-rivers Healthcare Pllc | 308 S Main St, Marion, KY 42064-1545 |
| Find all physicians in zip 42064 | |||
| City | MARION |
| Zip Code | 42064 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MARION + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.