JACOB MADDUX (NPI# 1760839211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760839211 |
Entity Type | Individual |
Full Name | JACOB MADDUX |
Credential | M.D. |
Practice Address |
13400 E Shea Blvd Scottsdale AZ 85259 |
Mailing Address |
13400 E Shea Blvd Scottsdale AZ 85259-5452 |
Practice Telephone | 4803018000 |
Mailing Telephone | 4803018000 |
Enumeration Date | 2016-05-14 |
Last Update Date | 2020-09-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207K00000X | Allergy & Immunology | 55863 | AZ | Allopathic & Osteopathic Physicians |
N | 207R00000X | Internal Medicine | R75864 | AZ | Allopathic & Osteopathic Physicians |
Street Address |
13400 E SHEA BLVD |
City | SCOTTSDALE |
State | AZ |
Zip Code | 85259 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932104205 | Mark Randall Wallace | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259 | 2005-06-14 |
1598365884 | Evelyn Fennelly | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-10-27 |
1114525755 | Justin Michael Chitel | Student in an Organized Health Care Education/Training Program | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-10-15 |
1437757283 | Daniel Marston Herman | Nurse Anesthetist, Certified Registered | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2020-10-14 |
1558969436 | Michael Patrick O'shea | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-10-13 |
1881201655 | Olivia Laurel Baker | Dietitian, Registered | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-09-25 |
1164036729 | Kathleen Alexis Howell Barrus | Genetic Counselor, MS | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2020-09-01 |
1649889528 | Aditi Mishra | Surgery | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-07-27 |
1316556418 | Laura Ann Schaffer | Nurse Practitioner | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-07-24 |
1952910077 | Sarah Elizabeth Rebey | Physician Assistant | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-07-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053890541 | Irene Mitchell | Speech-Language Pathologist | 11445 E. Via Linda Suite 2235, Scottsdale, AZ 85259 | 2018-08-07 |
1437647237 | Meier Clinics of California, Inc. | Counselor | 10565 North 114th Street, Suite 107 - #8, Scottsdale, AZ 85259 | 2018-04-26 |
1477071215 | Swati Enhoffer | Pharmacist | 10500 E Mercer Ln, Scottsdale, AZ 85259 | 2017-08-31 |
1063964864 | Med Ride | Taxi | 10055 N. 142nd St.# 1130, Scottsdale, AZ 85259 | 2016-10-27 |
1639593759 | Dental Associates for Kids Only | Dentist | 12020 E. Shea Blvd. #8, Scottsdale, AZ 85259 | 2014-02-10 |
1750712725 | Sharon Nyquist | Nurse Practitioner | 13400 E Shea Blvd., Scottsdale, AZ 85259 | 2013-12-02 |
1598107070 | Wen D Tan | Physician Assistant | 13400 E. Shea Blvd, Scottsdale, AZ 85259 | 2013-07-24 |
1417295809 | Kristen L. Schaefer | Physician Assistant | 13400 E Shea Blvd Ste 100, Scottsdale, AZ 85259 | 2013-01-21 |
1518210004 | Ruth Aida Kosak | Podiatrist | 11390 E Via Linda #102, Scottsdale, AZ 85259 | 2012-10-21 |
1346590536 | Mairead Doherty | Internal Medicine | 13400 E. Shea Blvd., Scottsdale, AZ 85259 | 2012-09-14 |
Find all providers in zip 85259 |
Taxonomy Code | 207K00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588192397 | North Scottsdale Allergy Associates | Allergy & Immunology | 6892 E Ironwood Dr, Scottsdale, AZ 85266-7444 | 2017-05-24 |
1437174208 | Rachael Marie Stillwagon | Allergy & Immunology | 10200 N 92nd St Ste 130, Scottsdale, AZ 85258-4535 | 2006-07-13 |
1205835337 | Jean Audrey Nelson | Allergy & Immunology | 7514 E Monterey Way, Suite 1, Scottsdale, AZ 85251-6900 | 2005-07-20 |
1750515268 | Benjamin Lewis Wright | Allergy & Immunology | 13400 E Shea Blvd, Scottsdale, AZ 85259 | 2009-05-12 |
1831365105 | Affiliated Allergy & Pulmonary Specialists, PC | Allergy & Immunology | 34597 N 60th St, Suite 100, Scottsdale, AZ 85266-5240 | 2008-05-06 |
1225113673 | Stuart Z Lanson | Allergy & Immunology | 8406 E Shea Blvd, #100, Scottsdale, AZ 85260-6659 | 2006-10-26 |
1174530414 | Matthew A Rank | Allergy & Immunology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2006-08-01 |
1861477739 | Aaron Jonathan Davis | Allergy & Immunology | 7514 E Monterey Way, Suite 1, Scottsdale, AZ 85251-6900 | 2005-12-13 |
1619952009 | John Christopher Lewis | Allergy & Immunology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 | 2005-12-08 |
1457335317 | Harry G Teaford IIi | Allergy & Immunology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 | 2005-12-05 |
Find all providers in SCOTTSDALE |
City | SCOTTSDALE |
Zip Code | 85259 |
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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.