MRS. MICHELLE ELLAINE MADDOX (NPI# 1508904673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508904673 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE ELLAINE MADDOX |
| Other Name | MISS MICHELLE ELAINE JORDAN |
| Credential | CMA |
| Practice Address |
4477 Medical Center Way Suite A West Palm Beach FL 33407-3257 |
| Practice Telephone | 5618407977 |
| Mailing Telephone | 5618407977 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 55528 | FL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700944535 | Michelle Maddox | Speech-Language Pathologist | 518 E Front St, Lonoke, AR 72086-3262 | 2006-12-05 |
| Street Address |
4477 MEDICAL CENTER WAY SUITE A |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33407-3257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700864402 | John Patrick Kinney | Dermatology | 4477 Medical Center Way, Suite A, West Palm Beach, FL 33407-3286 | 2006-01-04 |
| 1407010507 | Adriana Farias | Nurse's Aide | 4477 Medical Center Way, Suite A, West Palm Beach, FL 33407-3286 | 2008-07-17 |
| 1467676056 | Natalie Margaret Li | Specialist | 4477 Medical Center Way, Suite A, West Palm Beach, FL 33407-3257 | 2007-04-13 |
| 1285780288 | Tracy Lynn Simons | Nurse's Aide | 4477 Medical Center Way, West Palm Beach, FL 33407-3257 | 2007-01-25 |
| 1407924558 | Larisa Coye Kelley | Dermatology | 4477 Medical Center Way, Suite A, West Palm Beach, FL 33407-3286 | 2006-11-30 |
| 1972570323 | Michael Anthony Nowak | Pathology | 4477 Medical Center Way, Suite B, West Palm Beach, FL 33407-3286 | 2006-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252924 | Tenet Florida Physician Services II, LLC | Durable Medical Equipment & Medical Supplies | 5352 Greenwood Ave, Ste 103, West Palm Beach, FL 33407 | 2020-07-09 |
| 1083248520 | Robin Erickson, Ph.d., Inc. | Clinic/Center | 2151 45th St.# 200, West Palm Beach, FL 33407 | 2020-02-24 |
| 1487203428 | Donmar Health Services, LLC | Home Health | 801 Northpoint Pkwy Ste 59, West Palm Beach, FL 33407 | 2019-09-11 |
| 1962064071 | Sofia Thomas | Nurse Practitioner | 927 45th St Ste 102, Mangonia Park, FL 33407 | 2019-06-28 |
| 1093294803 | Physical Therapy Now of Mangonia Park | Clinic/Center | 1748 45th St, West Palm Beach, FL 33407 | 2018-08-13 |
| 1437635943 | Shanna Bhagan | Physician Assistant | 4500 N Flagler Dr Apt B16, West Palm Beach, FL 33407 | 2018-07-17 |
| 1942786637 | Frantz Lamour | Counselor | 1233 45th Suite Suite A 7-8, West Palm Beach, FL 33407 | 2018-07-16 |
| 1013404706 | Florida Medical Professionals LLC | Hospitalist | St. Mary's Medical Center 901 45th Street, West Palm Beach, FL 33407 | 2018-04-18 |
| 1265929012 | Fantastic Wound Care LLC | Registered Nurse | 2580 Metrocentre Boulevard, Suite 5, West Palm Beach, FL 33407 | 2018-04-17 |
| 1225530140 | South Florida Spinal Neurosurgery Associates LLC | Neurological Surgery | 5851 Corporate Way, West Palm Beach, FL 33407 | 2018-03-07 |
| Find all providers in zip 33407 | ||||
| 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 |
|---|---|---|---|---|
| 1831608983 | Jacob Sharff | Specialist | 214 Lakeland Dr, West Palm Beach, FL 33405-2312 | 2017-09-20 |
| 1134500945 | Complete Medical Care Services | Specialist | 10130 Northlake Blvd Ste 214341, West Palm Beach, FL 33412-1101 | 2015-06-17 |
| 1194103846 | Renee Whitelock | Specialist | 5511 N Flagler Dr, West Palm Beach, FL 33407-2613 | 2015-05-14 |
| 1275927147 | James and Joann Francis LLC | Specialist | 911 Village Blvd Ste 807, West Palm Beach, FL 33409-1938 | 2015-03-27 |
| 1366834939 | Palm Beach Specialists Inc | Specialist | 5752 Okeechobee Blvd, West Palm Beach, FL 33417-4343 | 2015-02-19 |
| 1861893448 | Interventional Pain LLC | Specialist | 2031 Palm Beach Lakes Blvd Ste 100, West Palm Beach, FL 33409-6525 | 2014-09-15 |
| 1427392141 | Multispecialty Group, LLC | Specialist | 2511 S Dixie Hwy, Suite B, West Palm Beach, FL 33401-7917 | 2012-11-19 |
| 1487916110 | Robert T. Hayden M.d.,p.a. | Specialist | 1500 N Dixie Hwy Ste 307, West Palm Beach, FL 33401-2717 | 2012-06-08 |
| 1164705729 | Therapeutic Services of The Palm Bea | Specialist | 2200 North Florida Mango Road, Suite 201, West Palm Beach, FL 33409-6464 | 2011-09-21 |
| 1275826489 | John H. Merey M.d., P.a. | Specialist | 5405 Okeechobee Blvd Ste 302b, West Palm Beach, FL 33417-4554 | 2011-05-20 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33407 |
Please comment or provide details below to improve the information on MRS. MICHELLE ELLAINE MADDOX.
| 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.