JOHN C MADDEN (NPI# 1750569810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750569810 |
| Entity Type | Individual |
| Full Name | JOHN C MADDEN |
| Credential | M.D. |
| Practice Address |
9580 Watson Rd Ste A Saint Louis MO 63126-1539 |
| Mailing Address |
Po Box 23340 Saint Louis MO 63156-3340 |
| Practice Telephone | 3149655437 |
| Practice Fax Number | 3149655439 |
| Mailing Telephone | 3149655437 |
| Mailing Fax Number | 3149655439 |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2016-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 2005026245 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | ANTHEM BCBS | 000000561731 | 01 |
| MO | UHC | 2868804 | 01 |
| MO | HEALTHLINK | 906382 | 01 |
| MO | GHP | 342893 | 01 |
| MO | CIGNA | 2725138 | 01 |
| MO | AETNA | 9310122 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689841884 | John Madden | Dentist | 1 Kneeland St Tusdm, Prosthodontics & Operative Dentistry Department, Boston, MA 02111-0000 | 2008-05-15 |
| 1538380290 | John Francis Madden | Family Medicine | 10040 N 43 Ave, Suite 2b, Glendale, AZ 85302-2770 | 2007-05-01 |
| 1750506242 | John Madden | Chiropractor | 1201 S I H 35 Ste 103, Round Rock, TX 78664-6646 | 2007-04-17 |
| 1437222452 | John Madden | Audiologist | 290 Centennial Dr Stop 8040, Montgomery Hall Room 101, Grand Forks, ND 58202-8040 | 2006-11-16 |
| 1790795276 | John B Madden | Family Medicine | 4290 Lakeland Dr Ste A, Flowood, MS 39232-9571 | 2006-08-08 |
| 1043369069 | John Francis Madden | Pathology | 2100 Erwin Rd, Durham, NC 27710-0001 | 2007-01-09 |
| 1669450318 | John F Madden | Emergency Medicine | 4755 Ogletown Stanton Rd, Newark, DE 19718 | 2006-01-04 |
| Street Address |
9580 WATSON RD STE A |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63126-1539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639725088 | Shelby Ann Kroeger | Physical Therapist | 29 Ronnie's Plaza, Saint Louis, MO 63126 | 2019-08-12 |
| 1396044186 | Kristin Cassidy | Occupational Therapist | 11660 Eddie and Park Rd, Saint Louis, MO 63126 | 2011-03-21 |
| 1497913347 | Bradley Keith Pugh | Audiologist | 11627 Gravois Road, Midwest Hearing Center, Saint Louis, MO 63126 | 2008-05-28 |
| 1780707034 | William Anthony Taylor Sr. | Dentist | 9730 E Watson Rd, Suite # 1, St. Louis, MO 63126 | 2007-04-09 |
| 1265576904 | Gerda Monika Thalheimer | Dentist | 11627 Gravois Rd, St Louis, MO 63126 | 2007-02-16 |
| 1841347341 | Teralandur K. Parthasarathy | Audiologist | #30 Ronnie's Plaza, St. Louis, MO 63126 | 2007-01-05 |
| 1255402624 | Paul Arthur Lapoint | Optometrist | 11611 Gravois Road, St Louis, MO 63126 | 2006-11-10 |
| 1003998907 | Jeff Thompson | Optometrist | 211 Watson Plaza, St. Louis, MO 63126 | 2006-10-19 |
| 1992802433 | Rc Physician Services, LLC | Family Medicine | 9200 Watson Rd., St Louis, MO 63126 | 2006-09-19 |
| 1386753184 | Cynthia Diane Newell | Social Worker | Personal Potentials Inc., 10000 Watson Rd #2l18, St Louis, MO 63126 | 2006-08-29 |
| Find all providers in zip 63126 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1538786413 | Melissa An | Pediatrics | 1 Childrens Pl Ste 3s36, Saint Louis, MO 63110-1002 | 2020-06-26 |
| 1538795547 | Virtualnicu | Pediatrics | 10 Warridge Dr, Saint Louis, MO 63124-1166 | 2020-03-21 |
| 1174082887 | Kristen Steinmeyer | Pediatrics | 714 Peace Haven Ct, Saint Louis, MO 63125-5404 | 2019-03-13 |
| 1487149498 | Jessica Sims | Pediatrics | 1 Childrens Pl Ste 3s34, Saint Louis, MO 63110-1002 | 2018-06-22 |
| 1356835342 | Jerome Michael Molleston | Pediatrics | 1 Childrens Pl Cb8116, Saint Louis, MO 63110-1081 | 2018-06-21 |
| 1598259566 | Kylie Bushroe | Pediatrics | 1 Childrens Pl Ste 3n18, Saint Louis, MO 63110-1081 | 2018-06-21 |
| 1710492228 | Ideal Pediatric Wellness, LLC | Pediatrics | 10007 Kennerly Rd Ste C, Saint Louis, MO 63128-2179 | 2017-12-06 |
| 1578083424 | Michael Quinn | Pediatrics | Wusm Peds Infectious Diseases, 1 Childrens Pl Cb 8116, Saint Louis, MO 63110-1002 | 2017-06-21 |
| 1205367612 | Anchal Sethi | Pediatrics | 1234 S Kingshighway Blvd Ste 1200, Saint Louis, MO 63110-2170 | 2017-03-27 |
| 1831541895 | Lila Sarah Wahidi Nolan | Pediatrics | Wusm Peds Newborn Medicine, 1 Childrens Pl Cb 8116, Saint Louis, MO 63110 | 2016-07-01 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63126 |
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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.