MR. SCOTT MICHAEL MADDOCK (NPI# 1306313218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306313218 |
| Entity Type | Individual |
| Full Name | MR. SCOTT MICHAEL MADDOCK |
| Credential | BSN, RN, CRNFA, CNOR |
| Practice Address |
1040 Winter Lake Dr Fenton MO 63026-8016 |
| Practice Telephone | 3144776927 |
| Mailing Telephone | 3144776927 |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 155911 | MO | Nursing Service Providers |
| Street Address |
1040 WINTER LAKE DR |
| City | FENTON |
| State | MO |
| Zip Code | 63026-8016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000372 | Allison Egler | Audiologist | 1011 Bowles Ave Ste 405, Fenton, MO 63026 | 2018-01-05 |
| 1629508213 | Holly Brooks Munson | Massage Therapist | 220 Copper Mountain Dr, Fenton, MO 63026 | 2017-06-15 |
| 1073978862 | Naomi Sharon | Nurse Practitioner | 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 | 2015-12-21 |
| 1871981704 | Celtic Private Care of Il & Mo, LLC | In Home Supportive Care | 1653 Larkin Williams Road, Suite 201, Fenton, MO 63026 | 2014-12-30 |
| 1356747513 | Kristina Potts | Nurse Practitioner | 774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026 | 2014-11-14 |
| 1245642420 | Physicians Health Group Medical Inc | General Practice | 960 S. Highway Dr, Fenton, MO 63026 | 2014-05-22 |
| 1598047409 | Kevin Eugene Bruce | Pharmacist | 1210 Sugar Creek, Fenton, MO 63026 | 2011-09-16 |
| 1215186382 | Concentra Health Services, Inc. | Clinic/Center | 128 Matrix Commons Dr., Fenton, MO 63026 | 2008-09-15 |
| 1790954410 | Castlewood Treatment Center LLC | Community/Behavioral Health | 1855 Bowles Ave, Suite 210, Fenton, MO 63026 | 2008-02-27 |
| 1073703617 | Christina R Baeres | Dietitian, Registered | 38 Majestic Ct, Fenton, MO 63026 | 2007-07-30 |
| Find all providers in zip 63026 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122287 | Natasha Marie Byrd | Registered Nurse | 1710 Fenpark Dr # 4, Fenton, MO 63026-2920 | 2020-10-20 |
| 1225529456 | Penny Melton | Registered Nurse | 3043 E Bay Dr, Fenton, MI 48430-1399 | 2018-05-23 |
| 1013366137 | Janice Carol | Registered Nurse | 13433 Haddon St, Fenton, MI 48430-1156 | 2016-06-09 |
| 1306293717 | Terry Lynn Dey | Registered Nurse | 5533 Mabley Hill Rd, Fenton, MI 48430-9542 | 2016-05-17 |
| 1346600970 | Jessica Nicole Hoffmann | Registered Nurse | 714 Gravois Rd Ste 210, Fenton, MO 63026-7723 | 2016-02-24 |
| 1720452295 | Elaine Green | Registered Nurse | 11643 Clearwater Dr, Fenton, MI 48430-8610 | 2015-11-21 |
| 1902270697 | Andrea Doerer | Registered Nurse | 205 Stillbrook Estates Dr, Fenton, MO 63026-6505 | 2015-11-18 |
| 1487067906 | Lynn A Allard | Registered Nurse | 14165 N Fenton Rd, Ste 102 B, Fenton, MI 48430-1587 | 2014-06-03 |
| 1720402787 | Ryan Markus | Registered Nurse | 3000 Crimson Oaks Dr, Fenton, MO 63026-8303 | 2014-02-11 |
| 1992087571 | Wendy Lee Sirko | Registered Nurse | 116 Mill St, Fenton, MI 48430-2818 | 2011-09-09 |
| Find all providers in FENTON | ||||
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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.