MR. THOMAS J MADEJSKI (NPI# 1356318992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356318992 |
| Entity Type | Individual |
| Full Name | MR. THOMAS J MADEJSKI |
| Credential | MD |
| Practice Address |
100 Ohio St Medina NY 14103 |
| Practice Telephone | 5857983345 |
| Practice Fax Number | 5857983416 |
| Mailing Telephone | 5857983345 |
| Mailing Fax Number | 5857983416 |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2011-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 171989 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BLUE CROSS | 000511803005 | 01 |
| NY | 01394412 | 05 | |
| INDEPENDENT HEALTH | 0409024 | 01 | |
| PREFERRED CARE | 102548BJ | 01 | |
| UNIVERA | 00010108801 | 01 | |
| NY | BLUE CROSS | 000511803007 | 01 |
| BLUE CHOICE | P010171989 | 01 |
| Street Address |
100 OHIO ST |
| City | MEDINA |
| State | NY |
| Zip Code | 14103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063998607 | Janet Marie Wysocki Freer | Nurse Practitioner | 100 Ohio St, Medina, NY 14103-1191 | 2018-07-17 |
| 1699093898 | General Physician Sub I Pllc | General Practice | 100 Ohio St, Medina, NY 14103-1191 | 2010-05-12 |
| 1831382878 | Pamela Reamer | Nurse Practitioner | 100 Ohio St, Medina, NY 14103-1191 | 2007-08-23 |
| 1053502823 | Lesly Germain Md PC | Physician Assistant | 100 Ohio St, Medina, NY 14103-1191 | 2007-08-07 |
| 1992996912 | Marcel Rozario | Nurse Practitioner | 100 Ohio St, Medina, NY 14103-1191 | 2007-08-06 |
| 1063569408 | Pamela Ann Eaton | Nurse Practitioner | 100 Ohio St, Suite C, Medina, NY 14103-1191 | 2007-01-05 |
| 1508920117 | Lake Plains Medical Pllc | Family Medicine | 100 Ohio St, Medina, NY 14103 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063772473 | Melody Ann Parker | Licensed Practical Nurse | 1026 Park Avenue, Medina, NY 14103 | 2012-05-18 |
| 1720253883 | Gary L Condoluci | Massage Therapist | 11020 West Center St Ext, Medina, NY 14103 | 2008-04-29 |
| 1437280955 | Orleans Community Health | Clinic/Center | 11020 West Center Street Ext., Medina, NY 14103 | 2007-03-08 |
| 1902933328 | Sallah U Abbasey | Homeopath | 3662 Culvert Road, Medina, NY 14103 | 2007-02-27 |
| 1548395429 | Salvatore Russell Pecoraro | Emergency Medicine | 200 Ohio Street, Medina Memorial Hospital, Medina, NY 14103 | 2007-02-22 |
| 1285783704 | Medina Central School District | Local Education Agency (LEA) | One Mustang Drive, Medina, NY 14103 | 2007-01-10 |
| 1639278310 | Ekram John Boulos | Otolaryngology | 11075 West Center Street Extension, Medina, NY 14103 | 2006-09-21 |
| 1598771289 | Katherine Price | Midwife | 100 Ohio Street, Medina, NY 14103 | 2006-08-01 |
| 1831156967 | Nadia Alexandra Nava | Physical Therapist | 711 Park Ave, Medina, NY 14103 | 2006-05-01 |
| 1336104090 | Amy Sue Herman | Pharmacist | 526 Main Street, Rosenkrans Pharmacy, Medina, NY 14103 | 2006-04-18 |
| Find all providers in zip 14103 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447878806 | Sprholdings, LLC | Internal Medicine | 885 Damon Dr, Medina, OH 44256-2009 | 2020-07-10 |
| 1922263573 | Kunal Mitra Md | Internal Medicine | 3575 Reserve Commons Dr, Suite 150, Medina, OH 44256 | 2008-07-23 |
| 1396904728 | Raza Medical Office Pllc | Internal Medicine | 1038 Gwinn St, Medina, NY 14103-1740 | 2008-06-02 |
| 1720250343 | Sushil K Jain Md Inc | Internal Medicine | 5041 Victor Drive, Unit C, Medina, OH 44256 | 2008-03-25 |
| 1700085545 | Teresa Elizabeth Goebel | Internal Medicine | 3780 Medina Rd Ste 140, Medina, OH 44256-9312 | 2007-07-12 |
| 1972700748 | Ryan Nerland | Internal Medicine | 101 Garrett Dr, Medina, TN 38355-9641 | 2007-06-27 |
| 1538254271 | Kunal Mitra | Internal Medicine | 970 E Washington St Ste 2f, Medina, OH 44256 | 2006-10-04 |
| 1962508374 | Karen M Hummel | Internal Medicine | 4001 Carrick Dr Ste 150, Medina, OH 44256-5392 | 2006-09-15 |
| 1801906003 | Julie A Ronyak | Internal Medicine | 3617 Reserve Commons Dr, Medina, OH 44256-8179 | 2006-08-30 |
| 1194835306 | Karen M Monheim | Internal Medicine | 4001 Carrick Dr Ste 210, Medina, OH 44256-5393 | 2006-08-30 |
| Find all providers in MEDINA | ||||
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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.