JESSICA MADDOX (NPI# 1801281175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801281175 |
| Entity Type | Individual |
| Full Name | JESSICA MADDOX |
| Credential | M.D. |
| Practice Address |
2762 23rd St San Francisco CA 94110-3442 |
| Practice Telephone | (801) 870-6890 |
| Mailing Telephone | (801) 870-6890 |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 148677 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 771 E Belmont Ave, Salt Lake City, UT 841051256 | 8018706890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669027462 | Jessica Maddox | Physical Therapist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2019-08-08 |
| 1720632755 | Jessica M Maddox | Specialist/Technologist | 1100 S Coulter St, Amarillo, TX 79106-1836 | 2019-07-29 |
| 1598209231 | Jessica Maddox | Social Worker | 1017 Fayetteville Rd Se, Suite B, Atlanta, GA 30316-2932 | 2016-12-15 |
| Street Address |
2762 23RD ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94110-3442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302980 | Deena Marlo Abramson | Doula | 1360 Vermont Street, San Francisco, CA 94110 | 2020-09-23 |
| 1740835131 | Jacob Matz | Orthopaedic Surgery | Orthopaedic Trauma Institute, 2550 23rd St Building 9, 2nd Floor, San Francisco, CA 94110 | 2019-08-03 |
| 1427523083 | John Pier Shaw | Counselor | 1550 Treat Street, San Francisco, CA 94110 | 2018-10-10 |
| 1548743594 | Ana Li | Registered Nurse | 2460 22nd Street, Building 90, Fourth Floor, Ward 94, San Francisco, CA 94110 | 2018-09-14 |
| 1295220283 | Sarah Jane Blevins | Technician, Other | 1061 Valencia Street, Apt A, San Francisco, CA 94110 | 2018-06-22 |
| 1639688823 | Rashid Belkheiri | Community Health Worker | 1001 Potrero Ave Bldg 5 #7m36, San Francisco, CA 94110 | 2017-09-20 |
| 1780107425 | Allison Kimberley Tucker | Orthopaedic Surgery | 2550 23rd St., Bldg. 9, 2nd Floor, Orthopedic Trauma Institute, San Francisco, CA 94110 | 2017-07-25 |
| 1003339300 | April May Moyer | Student in an Organized Health Care Education/Training Program | 1001 Potrero Street 6b, San Francisco, CA 94110 | 2017-07-19 |
| 1154851798 | Anthony Jermaine Hatten | Specialist | 1001 Potrero Ave Rm Ward93, San Francisco, CA 94110 | 2017-06-15 |
| 1770012981 | Cardiogram, Inc. | Physiological Laboratory | 375 Alabama St Ste 350, San Francisco, CA 94110 | 2017-06-09 |
| Find all providers in zip 94110 | ||||
| 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 |
|---|---|---|---|---|
| 1871158675 | Robert H. Langston | Pediatrics | 3838 California St Rm 815, San Francisco, CA 94118-1510 | 2019-05-07 |
| 1205367919 | Howard Chao | Pediatrics | 550 16th St # 110, San Francisco, CA 94143-2549 | 2017-03-23 |
| 1508226200 | Private Medical Physicians Inc. | Pediatrics | 3580 California St Ste 202, San Francisco, CA 94118-1717 | 2016-02-24 |
| 1326433491 | Emily Rebecca Peitzman | Pediatrics | 1823 Union St Fl 550164, San Francisco, CA 94123-4307 | 2015-04-05 |
| 1972998037 | Elizabeth Yang | Pediatrics | Ucsf Pediatrics 550 16th St Fl 4, San Francisco, CA 94143-0001 | 2015-04-05 |
| 1780076448 | Michael Smith | Pediatrics | Ucsf Pediatrics, 550 16th St Fl 4, San Francisco, CA 94131 | 2015-03-04 |
| 1942629704 | Gayatri Boddupalli Madduri | Pediatrics | 50 Parnassus Ave, San Francisco, CA 94117-4343 | 2014-04-09 |
| 1609294909 | Ekaterina Vaisberg | Pediatrics | Dept of Pediatrics Uc San Francisco M691, 505 Parnassus, Box 0110, San Francisco, CA 94143-0001 | 2014-04-03 |
| 1255758512 | Kimberly Nicole Grelli | Pediatrics | Po Box 734, San Francisco, CA 94104-0734 | 2014-03-25 |
| 1417296344 | Dannielle Adora Mcbride | Pediatrics | 1001 Potrero Ave Dept Of, San Francisco, CA 94110-3518 | 2013-02-13 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94110 |
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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.