JOSE L MADARA JR M D PA (NPI# 1649275736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649275736 |
| Entity Type | Organization |
| Organization Name | JOSE L MADARA JR M D PA |
| Practice Address |
102 Hotel St Booneville MS 38829-3303 |
| Practice Telephone | 6627287711 |
| Practice Fax Number | 6627287713 |
| Mailing Telephone | 6627287711 |
| Mailing Fax Number | 6627287713 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2007-08-14 |
| Authorized Official Name | DR. JOSE LAS LLAGAS MADARA JR. (PRESIDENT) |
| Authorized Official Telephone | 6627287711 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 7928 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00016361 | 05 |
| Street Address |
102 HOTEL ST |
| City | BOONEVILLE |
| State | MS |
| Zip Code | 38829-3303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376739953 | Jose L Madara Jr. | Surgery | 102 Hotel St, Booneville, MS 38829-3303 | 2007-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962029249 | Ortho Express Holding Company, LLC | Clinic/Center | 608 W Church St, Booneville, MS 38829 | 2020-07-02 |
| 1073142600 | Chelsea Cara Mcmillin | Registered Nurse | 2014 C East Chambers Drive, Booneville, MS 38829 | 2020-04-06 |
| 1396210274 | Hooper Transportation LLC | Private Vehicle | 105 Jacinto Heights, No 2, Booneville, MS 38829 | 2018-10-08 |
| 1699251314 | John L Hooper | Driver | 105 Jacinto Heights No 2, Booneville, MS 38829 | 2018-07-16 |
| 1750744389 | Jeni Ramey | Social Worker | 214 Dogwood Estates, Booneville, MS 38829 | 2016-03-31 |
| 1770944977 | Judy Dillard | Peer Specialist | 2100 Chambers Drive, Booneville, MS 38829 | 2016-03-15 |
| 1508253295 | Mary Grace Hancock | Internal Medicine | 202 N 1st St Ste B, Booneville, MS 38829 | 2015-04-20 |
| 1508042722 | Mary Dean Stone | Registered Nurse | 2100 East Chamberss, Booneville, MS 38829 | 2008-01-17 |
| 1144406430 | Amy Cole | Registered Nurse | 2100 East Chambers, Booneville, MS 38829 | 2008-01-16 |
| 1972715118 | Rita D. Jones | Nurse Practitioner | 1907 South Lake Street, Booneville, MS 38829 | 2007-05-03 |
| Find all providers in zip 38829 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427183722 | Joseph H. Feller | Surgery | 100 Hospital Street, Ste. 100a, Booneville, MS 38829 | 2007-02-23 |
| 1285631473 | Sahibzada A Ahmed | Surgery | 880 W Main St, Booneville, AR 72927-3420 | 2005-07-01 |
| 1992133714 | Mercy Hospital Booneville | Surgery | 880 W Main St, Booneville, AR 72927-3443 | 2013-10-15 |
| 1376739953 | Jose L Madara Jr. | Surgery | 102 Hotel St, Booneville, MS 38829-3303 | 2007-09-18 |
| 1467400358 | John Demetro Zelem | Surgery | 100 Hospital St, Suite 100a, Booneville, MS 38829-3354 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669041 | North Mississippi Medical Center Inc | Surgery | 499 S Gloster St Ste E, Tupelo, MS 38801-5539 | 2020-11-02 |
| 1285234104 | North Mississippi Medical Center, Inc. | Surgery | 499 Gloster Creek Vlg Ste S-3, Tupelo, MS 38801-4600 | 2020-10-29 |
| 1700344066 | Southwest Mississippi Regional Medical Center | Surgery | 1065 E Broad St., Monticello, MS 39654 | 2019-03-06 |
| 1740798503 | Cld Medical Enterprises Pllc | Surgery | 212 Draperton Ct Ste A, Ridgeland, MS 39157-3905 | 2018-01-15 |
| 1568912228 | Capel Surgical Clinic, LLC | Surgery | 406 E. Washington St., Greenwood, MS 38930 | 2016-10-06 |
| 1245610872 | Zachary Austin Masters | Surgery | 301 Fisher Street, Rm 5a127, Keesler Air Force Base, MS 39534 | 2015-06-09 |
| 1629477526 | Berry Enterprises LLC | Surgery | 756 Luckney Rd, Brandon, MS 39042-8703 | 2014-08-15 |
| 1649687906 | Almaz Kurbanov | Surgery | 1127 Earl Frye Blvd Ste B, Amory, MS 38821-5516 | 2014-07-18 |
| 1184036279 | Hope Burkett | Surgery | 147 Reynoir Street 201, Biloxi, MS 39530-9020 | 2014-05-23 |
| 1235568916 | Thomas Keener Billups Sr. | Surgery | 1929 Allyson Dr, Tupelo, MS 38804-1045 | 2013-11-04 |
| Find all providers with the same taxonomy | ||||
| City | BOONEVILLE |
| Zip Code | 38829 |
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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.