Owen D Maddox (NPI# 1306831128, PAC ID# 5294707691) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1306831128 |
| PAC ID by PECOS | 5294707691 |
| Professional Enrollment ID | I20040806000873 |
| Full Name | Owen D Maddox |
| Organization Legal Name | SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC. |
| Address |
1 Orthopedics Dr Peabody MA 01960-1668 |
| Phone Number | 9788186350 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0547259095 |
| Number of Group Practice Members | 63 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220088 | NEW ENGLAND BAPTIST HOSPITAL |
| 220110 | BRIGHAM AND WOMEN'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 125 Parker Hill Ave, Boston, MA 02120-2847 | 6177546687 | NEB RADIOLOGY PC |
| 187 Billerica Rd, Chelmsford, MA 01824-3616 | 9782501866 | CHELMSFORD MRI PC |
| 1 Orthopedics Dr, Peabody, MA 01960-1668 | 9788186350 | SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC. |
| 3640 Main St, Suite 101, Springfield, MA 01107-1139 | 4137819000 | CHELMSFORD MRI PC |
| Organization Legal Name | SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC. |
| Physicians | 68 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer M Peffer | Occupational Therapy | Sports Medicine North Orthopaedic Surgery, Inc. | 2 1st Ave, Suite 211, Peabody, MA 01960-4962 |
| Joseph Evans | Interventional Pain Management | Sports Medicine North Orthopaedic Surgery, Inc. | 1 Orthopedics Dr, Peabody, MA 01960-1668 |
| Thomas R Cookson | Physical Therapy | Sports Medicine North Orthopaedic Surgery, Inc. | 30 Tozer Rd, Suite 201, Beverly, MA 01915-5510 |
| Richard Morales Ozuna | Orthopedic Surgery | Sports Medicine North Orthopaedic Surgery, Inc. | 30 Tozer Rd, Suite 201, Beverly, MA 01915-5510 |
| Stephen H Karshbaum | Diagnostic Radiology | Sports Medicine North Orthopaedic Surgery, Inc. | 1 Orthopedics Dr, Peabody, MA 01960-1668 |
| Benjamin Schwartz | Orthopedic Surgery | Sports Medicine North Orthopaedic Surgery, Inc. | 1 Wallace Bashaw Jr Way, Suite 3001, Newburyport, MA 01950-3867 |
| Alex Perrott | Physical Therapy | Sports Medicine North Orthopaedic Surgery, Inc. | 1 Orthopedics Dr, Peabody, MA 01960-1668 |
| Tal Rencus | Diagnostic Radiology | Sports Medicine North Orthopaedic Surgery, Inc. | 1 Orthopedics Dr, Peabody, MA 01960-1668 |
| Sarah A Rindner | Physician Assistant | Sports Medicine North Orthopaedic Surgery, Inc. | 1 Orthopedics Dr, Peabody, MA 01960-1668 |
| Damon Spitz | Diagnostic Radiology | Sports Medicine North Orthopaedic Surgery, Inc. | 1 Orthopedics Dr, Peabody, MA 01960-1668 |
| Street Address |
1 ORTHOPEDICS DR |
| City | PEABODY |
| State | MA |
| Zip | 01960-1668 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Evans | Interventional Pain Management | Sports Medicine North Orthopaedic Surgery, Inc. | 1 Orthopedics Dr, Peabody, MA 01960-1668 |
| Stephen H Karshbaum | Diagnostic Radiology | Sports Medicine North Orthopaedic Surgery, Inc. | 1 Orthopedics Dr, Peabody, MA 01960-1668 |
| Alex Perrott | Physical Therapy | Sports Medicine North Orthopaedic Surgery, Inc. | 1 Orthopedics Dr, Peabody, MA 01960-1668 |
| Tal Rencus | Diagnostic Radiology | Sports Medicine North Orthopaedic Surgery, Inc. | 1 Orthopedics Dr, Peabody, MA 01960-1668 |
| Sarah A Rindner | Physician Assistant | Sports Medicine North Orthopaedic Surgery, Inc. | 1 Orthopedics Dr, Peabody, MA 01960-1668 |
| Damon Spitz | Diagnostic Radiology | Sports Medicine North Orthopaedic Surgery, Inc. | 1 Orthopedics Dr, Peabody, MA 01960-1668 |
| Nicole Durgan | Physical Therapy | Sports Medicine North Orthopaedic Surgery, Inc. | 1 Orthopedics Dr, Peabody, MA 01960-1668 |
| Ricardo Sanchez | Diagnostic Radiology | Sports Medicine North Orthopaedic Surgery, Inc. | 1 Orthopedics Dr, Peabody, MA 01960-1668 |
| Jordan Evans | Physician Assistant | Sports Medicine North Orthopaedic Surgery, Inc. | 1 Orthopedics Dr, Peabody, MA 01960-1668 |
| Bojan Zoric | Orthopedic Surgery | Sports Medicine North Orthopaedic Surgery, Inc. | 1 Orthopedics Dr, Peabody, MA 01960-1668 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith H Sherwood | Oral Surgery | 2 Essex Ctr Dr, Peabody, MA 01960 | |
| Mona Sigal | Internal Medicine | Nourish Health With Food for Life LLC | 2 Bourbon St, Peabody, MA 01960-1384 |
| Richard M Danubio | Chiropractic | 474 Lowell St, Peabody, MA 01960-1385 | |
| Susan Giles | Nurse Practitioner | Erickson Health Medical Group of Massachusetts PC | 100 Brooksby Village Dr, Peabody, MA 01960-1438 |
| Ajaykumar S Patel | Hospice/palliative Care | Erickson Health Medical Group of Massachusetts PC | 100 Brooksby Village Dr, Peabody, MA 01960-1438 |
| David G Mulder | Internal Medicine | Erickson Health Medical Group of Massachusetts PC | 100 Brooksby Village Dr, Peabody, MA 01960-1438 |
| Sarah B Robertson | Nurse Practitioner | Erickson Health Medical Group of Massachusetts PC | 100 Brooksby Village Dr, Peabody, MA 01960-1438 |
| Christine M Cudihy | Nurse Practitioner | Erickson Health Medical Group of Massachusetts PC | 100 Brooksby Village Dr, Peabody, MA 01960-1438 |
| Caroline M Sims | Clinical Social Worker | Erickson Health Medical Group of Massachusetts PC | 100 Brooksby Village Dr, Peabody, MA 01960-1438 |
| Dennis A Tuck | Podiatry | Erickson Health Medical Group of Massachusetts PC | 100 Brooksby Village Dr, Peabody, MA 01960-1438 |
| Find all physicians in zip 01960 | |||
| City | PEABODY |
| Zip Code | 01960 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | PEABODY + DIAGNOSTIC RADIOLOGY |
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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.