MR. ROGER J MADORE


Address: 1400 Us Hwy 441 N, The Villages, FL 32162
Phone: 3526748700

MR. ROGER J MADORE (NPI# 1699834358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699834358
Entity Type Individual
Full Name MR. ROGER J MADORE
Credential PA CC
Practice Address 1400 Us Hwy 441 N
The Villages
FL 32162
Mailing Address 1020 Lake Sumter Landing
The Villages
FL 32162
Practice Telephone 3526748700
Practice Fax Number 3526748714
Mailing Telephone 3526741700
Mailing Fax Number 3526748919
Enumeration Date 2006-12-08
Last Update Date 2017-04-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA2133 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1400 US HWY 441 N
City THE VILLAGES
State FL
Zip Code 32162

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831700939 Lana Nesheiwat Pharmacist 2235 Parr Drive, Lady Lake, FL 32162 2020-08-12
1619591393 Advanced Periodontics & Implant Care, LLC Dentist 1950 Laurel Manor Drive #184, The Villages, FL 32162 2020-05-29
1639719081 Retirement Five, LLC Skilled Nursing Facility 16605 Se 74th Souiliere Ave, The Villages, FL 32162 2020-01-14
1184263261 Eric William Allen Pharmacist Win Dixie Pharmacy #2545, 2500 Burnsed Blvd, The Villages, FL 32162 2020-01-06
1740828391 Tara Maria Jennings Irwin Physical Therapy Assistant 11962 Cr 101 #104, The Villages, FL 32162 2019-12-13
1851819254 Bio-medical Applications of Florida, Inc. Clinic/Center 310 Longview Ave, Lady Lake, FL 32162 2017-09-06
1033642327 Ben Miller Specialist/Technologist 251 Buffalo Trl, The Villages, FL 32162 2017-04-04
1932631173 Walgreen Co Durable Medical Equipment & Medical Supplies 620 Kristine Way, The Villages, FL 32162 2017-03-28
1639534522 Pamela Marie Bureau Registered Nurse 1020 Lake Sumter Landing, The Villages, FL 32162 2015-12-21
1669847059 Dawn Johnson Dental Assistant 8900 Mulberry Ln, The Villages, FL 32162 2015-12-10
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700275088 Mary Lombardi Physician Assistant 1400 N Us Highway 441 Ste 810, The Villages, FL 32159-8987 2015-01-09
1639468556 Katherine Delphine Tripi Physician Assistant 1400 N Us Highway 441 Ste 810, The Villages, FL 32159 2011-03-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811598691 Monica Nancy Ginocchio Physician Assistant 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 2020-11-06
1427657055 Alyson Ryall Physician Assistant 480 Ventura Pl, Vero Beach, FL 32963-4262 2020-10-24
1104436476 Forrest Joseph Steslow Physician Assistant 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 2020-08-03
1063039576 Joshua Bras Prewitt Physician Assistant 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 2020-06-30
1003443904 Sheila Rhinehart Physician Assistant 981 Tarpon Ave, Sebastian, FL 32958-5147 2020-03-23
1952932493 Lisel Spieler Physician Assistant 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 2020-02-03
1326685991 Nikolai X Lincavage Physician Assistant 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 2019-12-03
1356984686 Zane K Jude Physician Assistant 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 2019-10-18
1720635998 Jose R Munoz Physician Assistant 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 2019-08-22
1811559578 Sydney Gillen Physician Assistant 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 2019-07-02
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Competitor

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City THE VILLAGES
Zip Code 32162

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Dataset Information

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.

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