DR. LISSETTE P.G. MADURO (NPI# 1073533501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073533501 |
| Entity Type | Individual |
| Full Name | DR. LISSETTE P.G. MADURO |
| Credential | M.D. |
| Practice Address |
102 Cestrain Sq Chester SC 29706-1978 |
| Practice Telephone | 8035810574 |
| Practice Fax Number | 8035815898 |
| Mailing Telephone | 8035810574 |
| Mailing Fax Number | 8035815898 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2010-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 29144 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
102 CESTRAIN SQ |
| City | CHESTER |
| State | SC |
| Zip Code | 29706-1978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982933263 | Community Medicine Foundation | Pharmacy | 102 Cestrain Sq, Chester, SC 29706-1978 | 2009-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831719889 | Jump Start Bridging Gaps LLC | Counselor | 512 Columbia St, Chester, SC 29706 | 2020-04-20 |
| 1992215560 | Community Medicine Foundation Inc | Clinic/Center | 524 Doctors Court, Catawba Community Mental Health Center, Chester, SC 29706 | 2017-10-09 |
| 1598285314 | National Scholars Academy | Community/Behavioral Health | 2183 Dawson Drive, Chester, SC 29706 | 2017-06-22 |
| 1265899371 | Resourceful Health Care | Counselor | 1645 J A Cochrane By Pass, Chester, SC 29706 | 2016-01-20 |
| 1871829861 | Goldencare, Inc | Clinic/Center | 1197 Armory Road, Chester, SC 29706 | 2009-10-26 |
| 1922158583 | Bhm of Chester LLC | Assisted Living Facility | 570 Center Street, Chester, SC 29706 | 2007-01-12 |
| 1588777395 | Chester Hma Physician Management | Family Medicine | 517 Doctors Court, Chester, SC 29706 | 2006-08-16 |
| 1710942784 | Phillip Brian Jacobs | Optometrist | 136 Church Street, Chester, SC 29706 | 2006-04-20 |
| 1528063450 | Laudan A. Adkinson | Dentist | 726 Wilson St, Chester, SC 29706 | 2005-06-16 |
| 1679814388 | Kristin Marie Gibson | Counselor | 130 Hudson St, Chester, SC 29706 | 2013-03-05 |
| Find all providers in zip 29706 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748136 | Rapha House Calls | Family Medicine | 2 Fernglade Ct, Chester, NY 10918-2637 | 2020-10-22 |
| 1629469002 | Memorial Hospital | Family Medicine | 2319 Old Plank Road, Chester, IL 62233-1116 | 2015-02-06 |
| 1376945626 | Bon Secours St. Francis Medical Center, Inc. | Family Medicine | 12340 Bermuda Crossroad Ln, Chester, VA 23831-2352 | 2014-09-18 |
| 1962845016 | Luisa M Caparoula | Family Medicine | 12254 Branders Creek Dr, Chester, VA 23831-1626 | 2013-04-08 |
| 1801173141 | Bon Secours - St. Francis Medical Center LLC | Family Medicine | 11601 Iron Bridge Rd Ste 117, Chester, VA 23831-1467 | 2011-11-15 |
| 1487986287 | Richard Davis Brown | Family Medicine | 128 Kirwans Landing Ln, Chester, MD 21619 | 2010-02-03 |
| 1477781995 | Shervon Pierre | Family Medicine | 115 Cestrain Sq, Chester, SC 29706-1979 | 2009-06-23 |
| 1457506792 | Charu Gupta | Family Medicine | 2 North Road, Chester, NJ 07094-1826 | 2008-12-01 |
| 1669639969 | Alison Lewis | Family Medicine | 530 Main St Ste 4a, Chester, NJ 07930-2669 | 2008-05-22 |
| 1063683688 | Lorraine D Robertson | Family Medicine | 21 Brown Ct, Chester, NJ 07930-2481 | 2008-03-23 |
| Find all providers in CHESTER | ||||
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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.