DERALD MADSON, M.D., INC. (NPI# 1134229305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134229305 |
| Entity Type | Organization |
| Organization Name | DERALD MADSON, M.D., INC. |
| Practice Address |
3964 Frazeysburg Rd Zanesville OH 43701-8924 |
| Practice Telephone | 7404554944 |
| Practice Fax Number | 7404506199 |
| Mailing Telephone | 7404554944 |
| Mailing Fax Number | 7404506199 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2013-04-02 |
| Authorized Official Name | DR. DERALD L MADSON JR. (PRESIDENT) |
| Authorized Official Telephone | 7404554944 |
| Authorized Official Credential | MD, FACS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 35059388 | OH | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0054429 | 05 |
| Street Address |
3964 FRAZEYSBURG RD |
| City | ZANESVILLE |
| State | OH |
| Zip Code | 43701-8924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598769077 | Derald L. Madson | Surgery | 3964 Frazeysburg Rd, Zanesville, OH 43701-8924 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932694791 | Robert Edward Russell II | Counselor | 1590 Coal Run Rd., Zanesville, OH 43701 | 2018-06-25 |
| 1871010975 | Amy Caroline Blackford | Occupational Therapist | 4039 Old Wheeling Road, Zanesville, OH 43701 | 2017-08-29 |
| 1598286825 | Michele Ann Ehrnfield | Counselor | 930 Bethesda Drive, Zanesville, OH 43701 | 2017-06-27 |
| 1306382163 | Nadine Curry | Counselor | 4509 Pinkerton Rd, Foxfire Schools, Zanesville, OH 43701 | 2017-01-17 |
| 1669916219 | Kathleen Caughell | Counselor | 1590 Coal Run Rd, Zanesville, OH 43701 | 2016-12-15 |
| 1154877728 | Katherine Williams | Registered Nurse | 1125 Ellis Dam Rd, Zanesville, OH 43701 | 2016-09-01 |
| 1801342415 | Foxfire Intermediate School | Local Education Agency (LEA) | 2805 Pinkerton Road, Zanesville, OH 43701 | 2016-09-01 |
| 1770936353 | Tiffany Branson | Nurse Practitioner | 955 Bethesda Drive, 1st Floor, Zanesville, OH 43701 | 2016-07-19 |
| 1194175497 | Life Support Therapy Services LLC | Counselor | 941 Blue Ave, Zanesville, OH 43701 | 2016-06-16 |
| 1669876546 | Tami Sue Wofter | Licensed Practical Nurse | 21 Butler Drive, Zanesville, OH 43701 | 2014-10-21 |
| Find all providers in zip 43701 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194159491 | Tina A Tanner | Specialist | 1237 Garden St, Zanesville, OH 43701-2929 | 2013-08-22 |
| 1356513808 | Juan Robert Lacerda | Specialist | 2552 Dresden Rd, Zanesville, OH 43701-1960 | 2008-03-25 |
| 1922150713 | Stuart J Chow | Specialist | 945 Bethesda Dr Ste 200, Zanesville, OH 43701-1880 | 2007-01-18 |
| 1427077726 | Raymond Roger Little | Specialist | 2590 Stone Creek Cir, Zanesville, OH 43701-3904 | 2006-07-18 |
| 1194721993 | James P Adamo | Specialist | 2951 Maple Ave, Zanesville, OH 43701-1406 | 2005-06-27 |
| 1144853722 | Allison B Dennis | Specialist | 2845 Bell St, Zanesville, OH 43701-1720 | 2020-02-21 |
| 1336635853 | Pamela Brianne Wilson | Specialist | 2845 Bell St, Zanesville, OH 43701-1720 | 2018-07-09 |
| 1073021390 | Jodi Lynn Trott | Specialist | 2845 Bell St, Zanesville, OH 43701-1720 | 2018-01-22 |
| 1558764977 | Melissa Archibald | Specialist | 205 N 7th St, Zanesville, OH 43701-3791 | 2014-09-30 |
| 1649568783 | Michelle Lynn Robinson | Specialist | 1400 Brandywine Blvd, Zanesville, OH 43701-1083 | 2011-07-11 |
| Find all providers in ZANESVILLE | ||||
| City | ZANESVILLE |
| Zip Code | 43701 |
Please comment or provide details below to improve the information on DERALD MADSON, M.D., INC..
| 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.