MICHAEL MADRID


Address: 221 3rd St W, Jbsa Randolph, TX 78150-4800
Phone: 2102135442

MICHAEL MADRID (NPI# 1851513444) 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) 1851513444
Entity Type Individual
Full Name MICHAEL MADRID
Credential M.D.
Practice Address 221 3rd St W
Jbsa Randolph
TX 78150-4800
Practice Telephone 2102135442
Mailing Telephone 2106523284
Enumeration Date 2007-05-03
Last Update Date 2020-09-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083A0100X Preventive Medicine
Specialization: Aerospace Medicine
33501 AZ Allopathic & Osteopathic Physicians

Other Providers MICHAEL MADRID

NPI Name Taxonomy Address Enumeration
1275160079 Michael Madrid Student in an Organized Health Care Education/Training Program 111 Colchester Ave, Burlington, VT 05401-1473 2020-03-24

Office Location

Street Address 221 3RD ST W
City JBSA RANDOLPH
State TX
Zip Code 78150-4800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881104875 Virginia L Frazier Nurse Practitioner 221 3rd St W, Jbsa Randolph, TX 78150-4800 2017-10-04
1750831152 Lauren Kester Dietitian, Registered 221 3rd St W, Jbsa Randolph, TX 78150-4800 2016-10-10
1386032506 Kelly Kliewer Pharmacist 221 3rd St W, Jbsa Randolph, TX 78150-4800 2014-12-23
1346671765 Kevin Graham Physician Assistant 221 3rd St W, Jbsa Randolph, TX 78150-4800 2013-12-11
1891033601 Anh Phoa Anh Nguyen Physician Assistant 221 3rd St W, Jbsa Randolph, TX 78150-4800 2013-01-29
1780920819 Rachael L Parrish Dentist 221 3rd St W, Jbsa Randolph, TX 78150 2012-12-18
1649527508 Megan Jenifer Graff Dentist 221 3rd St W, Jbsa Randolph, TX 78150-4800 2012-08-10
1518221233 Rebecca Lorraine Englebretson Family Medicine 221 3rd St W, Jbsa Randolph, TX 78150-4800 2012-06-27
1093005472 William Chad Roasa Physician Assistant 221 3rd St W, Jbsa Randolph, TX 78150-4800 2011-04-19
1174821771 Jonathan Paul Kruze Dentist 221 3rd St W, Jbsa Randolph, TX 78150-4800 2011-03-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770045833 Erica Renae Guevara Physician Assistant 559 Medial Sq, 221 Third Street West Bldg. 1040, Jbsa-randolph Afb, TX 78150 2019-04-05
1457803868 Emily Newman Dietitian, Registered 221 Third Street West, Bldg. 999 Ste 2, Joint Base San Antonio -randolph, TX 78150 2016-11-02
1922411677 Amber Drewer Military Health Care Provider 3rd Street West Building 1040, Randolph Afb, TX 78150 2014-06-10
1144652975 Josephine Kimberly Olsen Family Medicine 359 Mdos/mdg, Randolph Afb, TX 78150 2013-08-02
1609149681 Lucky Lusterio Preventive Medicine 221 3rd St. W, Randolph Afb, TX 78150 2012-02-21
1417120569 Joni Hodgson General Practice 221 3rd Street West, Jbsa Randolph, TX 78150 2008-04-09
1710095724 Katherine Justen Adamson Physician Assistant 12th Medical Group, 221 3rd Street West, Randolph Air Force Base, TX 78150 2006-08-29
1811950090 Lidia Stana Ilcus Internal Medicine 359 Mdg, 221 Third Street West, Randolph Afb, TX 78150 2006-04-10
1013970672 David Hamilton Social Worker 12mdos/sgohf, Randolph Afb, TX 78150 2006-04-06
1962465526 Robert Allan Briggs Physical Therapist Randolph Afb Clinic, 221 3rd St W, Randolph Afb, TX 78150 2006-04-06
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Taxonomy Information

Taxonomy Code 2083A0100X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Aerospace Medicine

Taxonomy Definition

Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures.
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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295267573 Quinn Dufurrena Preventive Medicine 301 University Blvd # 1110, Galveston, TX 77555-1110 2017-03-28
1760841423 Anant Shukla Preventive Medicine Mendoza Aviation Clinic (11335 Ssg Sims Blvd), El Paso, TX 79935 2016-02-23
1689069296 Darryl George Demaris Preventive Medicine Texas A&m Hsc Com S&w Hospital, 2401 S. 31st Street - Ms-01-w256, Temple, TX 76508-0001 2015-03-31
1639505951 Mark Richard Hannay Preventive Medicine 614 Mccain St Ste 310, Kingsville, TX 78363 2013-09-18
1407198823 David Chase Rogers Preventive Medicine 1100 Wilfod Hall Loop, Bldg. 4556, Lackland Afb, TX 78236-9908 2013-03-24
1326387291 Skin Institute Preventive Medicine 1901 Babcock Rd Ste 200, San Antonio, TX 78229-4545 2013-02-12
1710221742 Conrad Ivan Dalton Preventive Medicine 98 S. Shawnee Ridge Circle, The Woodlands, TX 77382-2555 2012-11-15
1164766358 Guillermo J. Salazar Preventive Medicine 2601 Meacham Blvd, Faa, Asw-300, Fort Worth, TX 76137-4204 2012-11-12
1609149681 Lucky Lusterio Preventive Medicine 221 3rd St. W, Randolph Afb, TX 78150 2012-02-21
1205139367 Kenneth Edward Cottle Preventive Medicine 148 S Bay Dr, Bullard, TX 75757-8929 2010-12-13
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Competitor

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City JBSA RANDOLPH
Zip Code 78150

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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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