JESSICA W MADDEN (NPI# 1679511976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679511976 |
| Entity Type | Individual |
| Full Name | JESSICA W MADDEN |
| Credential | M.D. |
| Practice Address |
31731 Lake Shore Blvd Willowick OH 44095-3529 |
| Practice Telephone | 2163132016 |
| Mailing Telephone | 2163132016 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
35.087675 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | WI LICENSE | 52748 | 01 |
| WI | 1679511976 | 05 | |
| OH | STATE MEDICAL LICENSE | 35.087675 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982126041 | Jessica Lee Madden | Counselor | 528 E Main St, John Day, OR 97845-1289 | 2017-07-11 |
| 1366824401 | Jessica Madden | Nurse Practitioner | 5320 Harroun Rd, Sylvania, OH 43560 | 2015-06-25 |
| 1326352709 | Jessica Madden | Case Manager/Care Coordinator | 412 Roy Campbell Dr, Hazard, KY 41701-9453 | 2010-07-28 |
| Street Address |
31731 LAKE SHORE BLVD |
| City | WILLOWICK |
| State | OH |
| Zip Code | 44095-3529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669939567 | Betsy Rivera | Counselor | 39500 Euclid Ave Willougbhy Ohio 44095, 35900 Euclid Ave Willoughby Ohio 44095, Willoughby, OH 44095 | 2019-02-27 |
| 1114409554 | Beverly Ann Croyle | Nursing Care | 145 Christine Ct., Eastlake, OH 44095 | 2018-09-01 |
| 1487105540 | Emily Stupica | Psychologist | 34050 Glen Drive, Eastlake, OH 44095 | 2016-10-24 |
| 1346542255 | Rita Alvina Mitchell | Licensed Practical Nurse | 497 E305th, Willowick, OH 44095 | 2010-11-29 |
| 1669784021 | Alyssa M Kowalski | Dentist | 250 E. 312th St., Willowick, OH 44095 | 2010-07-13 |
| 1033374160 | Ruth Anne Rotkovecz | Licensed Practical Nurse | 33201 Vine St Apt., 126b, Eastlake, OH 44095 | 2008-07-29 |
| 1497926877 | Catherine Look | Registered Nurse | 278 St Lawrence Boulevard, Eastlake, OH 44095 | 2008-03-13 |
| 1457563363 | Sherry A Carlson | Home Health Aide | 779 E 305 St, Willowick, OH 44095 | 2007-05-04 |
| 1265659346 | Erica Michelle Wazney | Dentist | 32001 Vine Street, Willowick, OH 44095 | 2007-04-19 |
| 1609952464 | Donald Charles Thaler | Dentist | 34586 Lakeshore Blvd., Eastlake, OH 44095 | 2006-10-27 |
| Find all providers in zip 44095 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706811 | Shafeeque Kunhiabdullah | Pediatrics | Metrhealth Drive, Metrohealth Medical, Fellow Neonatology, Cleveland, OH 44109 | 2020-09-24 |
| 1184191579 | Satish C Kalhan | Pediatrics | 2625 Fairwood Dr, Pepper Pike, OH 44124-4543 | 2018-10-24 |
| 1649682964 | Paul Pollack | Pediatrics | 2529 E Broad St, Bexley, OH 43209-1758 | 2014-05-21 |
| 1407148828 | Holly Denise Brine | Pediatrics | Toledo Children's Hospital, 2142 North Cove Blvd, 3rd Floor, Toledo, OH 43606 | 2011-05-03 |
| 1295940070 | Andrew South | Pediatrics | 300 Locust St Ste 540, Akron, OH 44302-1809 | 2007-05-14 |
| 1215155379 | John Hubert Vollman | Pediatrics | 305 Hampshire Rd, Akron, OH 44313-4337 | 2007-04-23 |
| 1629148242 | Central Ohio Newborn Medicine, Inc. | Pediatrics | 285 E State St Ste 520, Columbus, OH 43215-4359 | 2006-11-09 |
| 1417053356 | Tsun-hsin Lin | Pediatrics | 300 Locust Street, Suite 540, Akron, OH 44302-1809 | 2006-09-16 |
| 1972611960 | Danna Marie Premer | Pediatrics | 3333 Burnet Ave # Mlc7009, Cincinnati, OH 45229-3026 | 2006-08-29 |
| 1396769683 | Beth A. Johnson | Pediatrics | 3333 Burnet Avenue Ml 7009, Cincinnati, OH 45229-3026 | 2006-07-27 |
| Find all providers with the same taxonomy | ||||
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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.