DR. STEVEN GLEN MADIX (NPI# 1619092137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619092137 |
Entity Type | Individual |
Full Name | DR. STEVEN GLEN MADIX |
Credential | PH.D., CCC-A-SLP |
Practice Address |
120 Robinson Hall Ruston LA 71272-0001 |
Practice Telephone | 3182574764 |
Practice Fax Number | 3182574492 |
Mailing Telephone | 3182574764 |
Mailing Fax Number | 3182574492 |
Enumeration Date | 2007-03-21 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 231HA2400X |
Audiologist Specialization: Assistive Technology Practitioner |
5076 | LA | Speech, Language and Hearing Service Providers |
Street Address |
120 ROBINSON HALL |
City | RUSTON |
State | LA |
Zip Code | 71272-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114041605 | Christina Renee Madix | Speech-Language Pathologist | 120 Robinson Hall, Ruston, LA 71272-0001 | 2007-03-19 |
1457551723 | Louisiana Tech University | Audiologist | 120 Robinson Hall, Ruston, LA 71272-0001 | 2007-07-24 |
1447376470 | Matthew Dean Bryan | Audiologist | 120 Robinson Hall, Ruston, LA 71272-0001 | 2007-03-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174052443 | Byron Pottorff | Specialist/Technologist | 1450 West Alabama, Ruston, LA 71272 | 2017-06-08 |
1043749336 | Adrianne Marie Bosworth | Specialist/Technologist | 1450 West Alabama Avenue, Ruston, LA 71272 | 2017-06-08 |
1588036651 | Roberto Cardona | Specialist/Technologist | 1450 W. Alabama, Ruston, LA 71272 | 2015-10-28 |
1780056069 | Jill Hancock | Specialist/Technologist | 1450 W Alabama, Ruston, LA 71272-0001 | 2015-10-26 |
1538374400 | Kerrilyn Phillips | Speech-Language Pathologist | 305 Wisteria St, Ruston, LA 71272-0001 | 2007-05-13 |
1407971948 | Sheryl Stokes Shoemaker | Audiologist | 306 Robinson Hall, Ruston, LA 71272-0001 | 2007-03-21 |
1356466361 | Larry Keith Henrickson | Audiologist | La Tech University Speech Hearing Ctr, Robinson Hall - Room 218, Ruston, LA 71272-0001 | 2007-03-20 |
1316474331 | Kayla Wincko | Specialist/Technologist | 305 Wisteria St, Ruston, LA 71272-0001 | 2017-05-22 |
1760855688 | Justin Wheeler | Specialist/Technologist | 1450 W Alabama Ave, Ruston, LA 71272-2711 | 2015-11-02 |
Taxonomy Code | 231HA2400X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Audiologist |
Specialization | Assistive Technology Practitioner |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275658239 | Melinda F Bryan | Audiologist | 509 W Alabama Ave, Ruston, LA 71270-4231 | 2007-03-20 |
1184112658 | Louisiana Tech Speech and Hearing Center | Audiologist | 509 W Alabama Ave, Ruston, LA 71270-4231 | 2018-04-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033239652 | Scallan Hearing Aid & Audiology Center Inc | Audiologist | 8211 Goodwood Blvd, Suite B, Baton Rouge, LA 70806-7740 | 2007-03-29 |
1144573965 | Premier Hearing and Balance, LLC | Audiologist | 16038 Doctors Blvd, Hammond, LA 70403-1478 | 2012-10-17 |
1235300823 | Bartels & Associates, Inc | Audiologist | 16038 Doctors Blvd, Hammond, LA 70403-1478 | 2008-03-21 |
1891711479 | Bartels & Associates, Inc. | Audiologist | 16038 Doctors Blvd, Hammond, LA 70403-1478 | 2006-07-15 |
Please comment or provide details below to improve the information on DR. STEVEN GLEN MADIX.
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.