JACOB MADDUX


Address: 13400 E Shea Blvd, Scottsdale, AZ 85259
Phone: 4803018000

JACOB MADDUX (NPI# 1760839211) 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) 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

Taxonomy

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

Office Location

Street Address 13400 E SHEA BLVD
City SCOTTSDALE
State AZ
Zip Code 85259

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207K00000X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City SCOTTSDALE
Zip Code 85259

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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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