DR. MARY L MADDOCK (NPI# 1720048986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720048986 |
| Entity Type | Individual |
| Full Name | DR. MARY L MADDOCK |
| Credential | AU.D. |
| Practice Address |
3909-110 Wrightsville Avenue Wilmington NC 28403-6241 |
| Practice Telephone | 9107914755 |
| Practice Fax Number | 9107990476 |
| Mailing Telephone | 9107914755 |
| Mailing Fax Number | 9107990476 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2009-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 1790 | NC | Speech, Language and Hearing Service Providers |
| N | 231HA2400X |
Audiologist Specialization: Assistive Technology Practitioner |
1790 | NC | Speech, Language and Hearing Service Providers |
| N | 231HA2500X |
Audiologist Specialization: Assistive Technology Supplier |
1790 | NC | Speech, Language and Hearing Service Providers |
| N | 237600000X | Audiologist-Hearing Aid Fitter | 1790 | NC | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7412368 | 05 | |
| NC | 7001525 | 05 | |
| NC | BLUE CROSS BLUE SHIELD | 130C7 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457790594 | Mary Katherine Maddock | Registered Nurse | 9808 Venice Blvd, Suite 700, Culver City, CA 90232-2732 | 2013-06-21 |
| 1255320149 | Mary Purnell Maddock | Anesthesiology | 1315 St Joseph Pkwy, #302, Houston, TX 77002-8233 | 2005-10-14 |
| Street Address |
3909-110 WRIGHTSVILLE AVENUE |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-6241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902340300 | Jason L Rickman | Audiologist | 1121 Military Cutoff Rd Ste H, Wilmington, NC 28405-3658 | 2016-12-05 |
| 1649720251 | Michael Michelli | Audiologist | 3605 Silverside Rd, Wilmington, DE 19810-5101 | 2016-10-06 |
| 1962951889 | Jillian Maureen Baier | Audiologist | 1941 Limestone Rd Ste 212, Wilmington, DE 19808-5400 | 2016-10-04 |
| 1659724466 | Rachael Ellen Skinner | Audiologist | 1150 W Locust St Ste 500, Wilmington, OH 45177-2062 | 2016-07-16 |
| 1083024384 | Lauren Ashleigh Greenwood | Audiologist | 1701 Rockland Rd, Rockland Center 1-cpass, Wilmington, DE 19803-3631 | 2014-05-07 |
| 1346676087 | Kelly Flaherty | Audiologist | 2205 Silverside Rd Ste 4, Wilmington, DE 19810-4534 | 2013-09-25 |
| 1689943854 | Bruce Elliott Mock Jr. | Audiologist | 3909 Wrightsville Ave, # 110, Wilmington, NC 28403-6241 | 2011-12-17 |
| 1942855424 | Rhea Mercado Malaluan | Audiologist | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2019-08-02 |
| 1891356242 | Max Gilbane | Audiologist | 1941 Limestone Rd Ste 210, Wilmington, DE 19808-5400 | 2019-06-26 |
| 1699140319 | Ashley Foots | Audiologist | 1311 Brandywine Blvd, Wilmington, DE 19809-2306 | 2015-12-07 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
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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.