MARK A. MADSEN (NPI# 1316936107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316936107 |
| Entity Type | Individual |
| Full Name | MARK A. MADSEN |
| Credential | M.D. |
| Practice Address |
6424 E Broadway Rd Ste 101 Mesa AZ 85206-1750 |
| Mailing Address |
1125 E Southern Ave Suite 300 Mesa AZ 85204-5045 |
| Practice Telephone | 4804569000 |
| Mailing Telephone | 4805458119 |
| Mailing Fax Number | 4808926805 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2019-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
29438 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 588212 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1125 E Southern Ave, Suite 300, Mesa, AZ 852045045 | 4805458119 | 4808926805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588906366 | Mark C Madsen | Veterinarian | 582 W Pacific Dr, American Fork, UT 84003-1406 | 2013-03-20 |
| 1407805757 | Mark J. Madsen | Physician Assistant | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2006-05-06 |
| 1093798738 | Mark C. Madsen | Family Medicine | 3150 N 12th St, Grand Junction, CO 81506-2863 | 2005-11-28 |
| Street Address |
6424 E BROADWAY RD STE 101 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-1750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609865559 | Joseph E. Wagner | Radiology | 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 | 2005-10-13 |
| 1689155673 | Jedidiah Johnson | Radiology | 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 | 2018-08-27 |
| 1033652516 | David Randal Hyatt | Radiology | 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 | 2016-12-01 |
| 1790046399 | Manisha Surendra Raythatha | Radiology | 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 | 2012-05-31 |
| 1205197829 | Douglas Smoot Lewis | Internal Medicine | 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 | 2012-05-30 |
| 1649536376 | Robert Thomas Crowder Jr. | Radiology | 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 | 2012-04-06 |
| 1326279738 | Anh Dao | Radiology | 6424 E Broadway Rd Ste 101, Mesa, AZ 85206 | 2009-08-03 |
| 1235364803 | Jared Criddle | Radiology | 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 | 2009-05-26 |
| 1790939502 | Jeffry Christopher Maxwell | Radiology | 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 | 2008-11-06 |
| 1740446582 | Matthew Del Giudice | Radiology | 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 | 2008-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225361454 | Smi Imaging, LLC | Radiology | 1425 S Greenfield Rd Bldg 2, Suite 114, Mesa, AZ 85206-5505 | 2009-09-04 |
| 1780817940 | Smi Imaging, LLC | Radiology | 1457 W Southern Ave Ste 26, Mesa, AZ 85202-4862 | 2009-09-03 |
| 1801029103 | Smi Imaging, LLC | Radiology | 130 S 63rd St Ste 123, Mesa, AZ 85206-1604 | 2009-09-02 |
| 1396701397 | Michelle Lee Dorsey | Radiology | 3850 E Huber St, Unit 1, Mesa, AZ 85205-3912 | 2006-04-26 |
| 1942285531 | Phoenix Diagnostic Imaging Inc | Radiology | 1111 S Dobson Rd, Mesa, AZ 85202-3902 | 2005-12-07 |
| 1306835020 | Karen B. Garby | Radiology | 1457 W Southern Ave, Suite 26, Mesa, AZ 85202-4813 | 2005-10-14 |
| 1861481731 | Monty D. Snow | Radiology | 1125 E Southern Ave, Suite 300, Mesa, AZ 85204-5045 | 2005-10-13 |
| 1609865559 | Joseph E. Wagner | Radiology | 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 | 2005-10-13 |
| 1336757699 | Arizona Diagnostic Radiology Group, LLC | Radiology | 2653 W Guadalupe Rd, Mesa, AZ 85202-7200 | 2020-07-22 |
| 1063052793 | Steward Radiology Physicians of Arizona Inc | Radiology | 1301 S Crismon Rd, Mesa, AZ 85209-3767 | 2020-01-10 |
| Find all providers in MESA | ||||
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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.