MICHAEL MADDOX (NPI# 1356503833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356503833 |
| Entity Type | Individual |
| Full Name | MICHAEL MADDOX |
| Credential | MD |
| Practice Address |
200 W Esplanade Ave Suite 210 Kenner LA 70065-2489 |
| Mailing Address |
1514 Jefferson Hwy New Orleans LA 70121-2483 |
| Practice Telephone | 5044648588 |
| Practice Fax Number | 5044648586 |
| Mailing Telephone | 5048424000 |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2015-11-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD.205949 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2339109 | 05 | |
| MS | 02158023 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700497443 | Michael Cameron Maddox | Registered Nurse | 742 Bonnie Ln, Brentwood, CA 94513-5460 | 2020-08-16 |
| 1427279975 | Michael L Maddox | Dentist | 513 S 3rd Street, Gadsden, AL 35901 | 2007-05-01 |
| 1528104486 | Michael Wayne Maddox | Psychiatry & Neurology | 4141 Red Hill Rd, Vallecito, CA 95251 | 2007-01-29 |
| 1134137169 | Michael Dawson Maddox | Physician Assistant | 951 New Salem Hwy, Murfreesboro, TN 37129 | 2006-08-04 |
| 1760960272 | Michael Maddox | Respiratory Therapist, Certified | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2018-08-06 |
| 1144719998 | Michael J Maddox | Counselor | 6100 S Walker Ave, Oklahoma City, OK 73139-7026 | 2018-05-08 |
| 1568768158 | Michael Maddox | Physician Assistant | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 | 2011-01-31 |
| 1790914893 | Michael Stephen Maddox | Physical Therapist | 142 W 3rd St, Luverne, AL 36049-1348 | 2009-07-09 |
| 1447338124 | Michael D. Maddox | Obstetrics & Gynecology | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-11-01 |
| 1821031865 | Michael Maddox | Internal Medicine | 6820 Parkdale Pl, Ste. 100, Indianapolis, IN 46254-6601 | 2006-06-14 |
| Street Address |
200 W ESPLANADE AVE SUITE 210 |
| City | KENNER |
| State | LA |
| Zip Code | 70065-2489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619971074 | Karl Neal Hanson | Family Medicine | 200 W Esplanade Ave, Ste 307, Kenner, LA 70065-2474 | 2005-06-13 |
| 1457952400 | Brittany Ragas | Nurse Practitioner | 200 W Esplanade Ave, Kenner, LA 70065-2489 | 2020-11-05 |
| 1285285510 | Louisiana State University School of Medicine In New Orleans Faculty | Specialist | 200 W Esplanade Ave, Kenner, LA 70065-2489 | 2019-09-27 |
| 1235784505 | Katherine Boston | Nurse Practitioner | 200 W Esplanade Ave, Kenner, LA 70065-2489 | 2019-08-05 |
| 1386153591 | Kayleigh Eppling Binet | Orthopaedic Surgery | 200 W Esplanade Ave, Kenner, LA 70065-2489 | 2017-09-20 |
| 1609317999 | Stephen Lambert | Family Medicine | 200 W Esplanade Ave, Kenner, LA 70065-2489 | 2017-03-20 |
| 1467908764 | Rekha Ramachandran | Internal Medicine | 200 W Esplanade Ave, Suite 210, Kenner, LA 70065-2489 | 2016-08-28 |
| 1700230745 | Penny Ann Boyle | Family Medicine | 200 W Esplanade Ave, Suite 412, Kenner, LA 70065-2489 | 2016-04-15 |
| 1205217684 | Emily Elizabeth Montz | Physician Assistant | 200 W Esplanade Ave, Ste 210, Kenner, LA 70065-2489 | 2015-06-11 |
| 1215347570 | Adeel Zia | Family Medicine | 200 W Esplanade Ave, Suite 409, Kenner, LA 70065-2489 | 2014-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689226946 | Silver Lining Dentistry & Co. | Clinic/Center | 2305 West Esplanade Suit U, Kenner, LA 70065 | 2019-07-16 |
| 1912462615 | Tamiqua Monique Torres | Lactation Consultant, Non-RN | 4129 Idaho Ave #a, Kenner, LA 70065 | 2019-02-06 |
| 1649766650 | Kenner Dental Associates, LLC | Dentist | 1501 32nd St., Kenner, LA 70065 | 2018-07-03 |
| 1194216465 | Shanne Gilbert | Technician, Pathology | Kenner Metairie and Surrounding Areas, Kenner, LA 70065 | 2018-05-23 |
| 1437668597 | Jbl Rx LLC | Pharmacy | 2305 West Esplanade Ave, Suite T, Kenner, LA 70065 | 2017-09-21 |
| 1073049532 | Jonathan English | Counselor | 3701 Tulane Dr, Kenner, LA 70065 | 2017-05-03 |
| 1033644752 | Fonteno Services LLC | Non-emergency Medical Transport (VAN) | 3017 Huntsville, St, Kenner, LA 70065 | 2017-05-01 |
| 1821521915 | Shondreca Nicole Sanders | Counselor | 4520 Williams Blvd, #y383, Kenner, LA 70065 | 2017-04-06 |
| 1225570104 | Dominiece Lacroix | Nurse Practitioner | 3616 Loyola Drive, 271, Kenner, LA 70065 | 2016-11-09 |
| 1427506286 | Lisandra Nunez | Counselor | 153 Auburn Pl, Kenner, LA 70065 | 2016-09-21 |
| Find all providers in zip 70065 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063030005 | Red Envelope Apmc | Urology | 15770 Paul Vega Dr Ste 200, Hammond, LA 70403-1475 | 2020-07-07 |
| 1225670961 | Rajendran Ambiavagar | Urology | 4209 Wakefield Blvd, Alexandria, LA 71303-2958 | 2019-10-15 |
| 1205208402 | Raymond Wendell Turner | Urology | 9854 Jennifer Ln, Shreveport, LA 71106-7716 | 2015-10-27 |
| 1326483678 | Tonye A Jones Jr. | Urology | 105 Medical Center Dr Ste 202, Slidell, LA 70461-5538 | 2013-04-30 |
| 1174966600 | Matthew Donald Strain | Urology | 1111 Medical Center Blvd Ste 650, Marrero, LA 70072 | 2013-04-15 |
| 1619232774 | Jay Heintz M.d. A Professional Medical LLC | Urology | 15770 Paul Vega Dr, Suite 200, Hammond, LA 70403-1475 | 2012-07-05 |
| 1336436252 | Omer Raheem | Urology | 3525 Prytania St Ste 614, New Orleans, LA 70115 | 2011-06-29 |
| 1861794745 | John Richard Enright | Urology | 4080 Locke Ln, Lake Charles, LA 70605-2258 | 2010-11-26 |
| 1164730917 | Jed Robinson | Urology | 2106 Loop Rd Ste B, Winnsboro, LA 71295-3343 | 2010-09-15 |
| 1508181421 | Alvin Simon Merlin | Urology | 4525 Hessmer Ave, Metairie, LA 70002-1525 | 2010-04-03 |
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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.