JACKSON W Q MADDUX (NPI# 1588628184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588628184 |
| Entity Type | Individual |
| Full Name | JACKSON W Q MADDUX |
| Credential | MD |
| Practice Address |
800 E 28th St Ste 1750 Minneapolis MN 55407 |
| Mailing Address |
800 E 28th St Ste 1750 Minneapolis MN 55407-3723 |
| Practice Telephone | 6128634495 |
| Mailing Telephone | 6128634495 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2018-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 36055 | KY | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | DR.0043168 | CO | Allopathic & Osteopathic Physicians |
| Y | 208100000X | Physical Medicine & Rehabilitation | 56201 | MN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 E 28th St Ste 1750, Minneapolis, MN 55407 | 6128634495 |
| Street Address |
800 E 28TH ST STE 1750 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013425420 | Erika Nielsen | Physical Therapist | 800 E 28th St Ste 1750, Minneapolis, MN 55407-3723 | 2018-01-19 |
| 1568984078 | Andrew F Fedor IIi | Clinical Neuropsychologist | 800 E 28th St Ste 1750, Minneapolis, MN 55407-3723 | 2017-07-17 |
| 1982134342 | Elizabeth M Senne | Social Worker | 800 E 28th St Ste 1750, Minneapolis, MN 55407-3723 | 2017-06-18 |
| 1336515030 | Chris Nelson | Social Worker | 800 E 28th St Ste 1750, Minneapolis, MN 55407-3723 | 2015-08-17 |
| 1134503469 | Noah Jared Chappell | Nurse Practitioner | 800 E 28th St Ste 1750, Minneapolis, MN 55407-3723 | 2015-07-16 |
| 1942699293 | Amanda Kay Miller | Physical Medicine & Rehabilitation | 800 E 28th St Ste 1750, Minneapolis, MN 55407-3723 | 2015-01-09 |
| 1528478625 | Arun Idiculla | Physical Medicine & Rehabilitation | 800 E 28th St Ste 1750, Minneapolis, MN 55407-3723 | 2014-04-29 |
| 1235559147 | Anne Catherine Tita | Student in an Organized Health Care Education/Training Program | 800 E 28th St Ste 1750, Minneapolis, MN 55407 | 2014-04-17 |
| 1295968790 | Liat Goldman | Physical Medicine & Rehabilitation | 800 E 28th St Ste 1750, Abbott Northwestern Hospital, Minneapolis, MN 55407-3723 | 2009-08-31 |
| 1396989257 | Rachel Stone Treuting | Physical Medicine & Rehabilitation | 800 E 28th St Ste 1750, Minneapolis, MN 55407-3723 | 2009-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| 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 Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841655156 | Summit Orthopedics, Ltd | Physical Medicine & Rehabilitation | 2800 Chicago Ave Ste 402, Minneapolis, MN 55407-1352 | 2015-12-31 |
| 1053554113 | Kristina R Johnson | Physical Medicine & Rehabilitation | 3428 36th Ave S, Minneapolis, MN 55406-2704 | 2009-04-19 |
| 1659538296 | Mary Ann Ryken | Physical Medicine & Rehabilitation | 3800 Vincent Ave S, Minneapolis, MN 55410-1122 | 2008-05-21 |
| 1558565390 | Kareen A Velez | Physical Medicine & Rehabilitation | 1 Veteran Dr., Va Medical Center, Spinal Cord Injury and Disorder (sci, Minneapolis, MN 55417 | 2007-06-14 |
| 1871603043 | Larisa Stross Kusar | Physical Medicine & Rehabilitation | 1 Veterans Dr # 117, Minneapolis, MN 55417-2309 | 2006-08-30 |
| 1508807884 | Scott Carl Crowe | Physical Medicine & Rehabilitation | Mmc 297, 420 Deleware St Se, Minneapolis, MN 55455 | 2006-06-09 |
| 1922068006 | Marilyn A Thompson | Physical Medicine & Rehabilitation | One Veterans Drive, Minneapolis, MN 55417 | 2006-03-24 |
| 1518931187 | Orlando Charry-rodriquez | Physical Medicine & Rehabilitation | 913 E 26th St Ste 503, Minneapolis, MN 55404-4515 | 2006-02-13 |
| 1003413188 | Brandy Kozitza | Physical Medicine & Rehabilitation | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-10-02 |
| 1689230450 | Nicholas Edward Peterson | Physical Medicine & Rehabilitation | 410 Church St Se, Minneapolis, MN 55455-0222 | 2019-05-16 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
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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.