Kondal R Madaram (NPI# 1003952144, PAC ID# 4284826892) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1003952144 |
| PAC ID by PECOS | 4284826892 |
| Professional Enrollment ID | I20160718001619 |
| Full Name | Kondal R Madaram |
| Organization Legal Name | CUMBERLAND COUNTY HOSPITAL SYSTEM INC |
| Address |
711 Executive Pl Fl 4 Fayetteville NC 28305-5193 |
| Phone Number | 9103232311 |
| Gender | M |
| Graduation Year | 2000 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 1850204041 |
| Number of Group Practice Members | 401 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340126 | WILSON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 711 Executive Pl, Fl 4, Fayetteville, NC 28305-5193 | 9103232311 | CUMBERLAND COUNTY HOSPITAL SYSTEM INC |
| 1705 Tarboro Swst, Wilson Medical Center, Wilson, NC 27893-3428 | 2523998040 | DLP WILSON PHYSICIAN PRACTICES LLC |
| 2508 Ward Blvd, Wilson, NC 27893-1600 | 2522430053 | DLP WILSON PHYSICIAN PRACTICES LLC |
| 2605 Forest Hills Swrd A, Wilson Gastroenterology, Wilson, NC 27893-4448 | 2522430043 | DLP WILSON PHYSICIAN PRACTICES LLC |
| Organization Legal Name | CUMBERLAND COUNTY HOSPITAL SYSTEM INC |
| Physicians | 390 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessie Barton Lawrence | Family Medicine | Cumberland County Hospital System Inc | 1463 Pamalee Dr, Fayetteville, NC 28303-3974 |
| Latondra Denise Stillwell Barker | Physician Assistant | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Joseph Clair | Certified Registered Nurse Anesthetist (crna) | Cumberland County Hospital System Inc | 1638 Owen Dr, Fayetteville, NC 28304-3424 |
| Rose M Graham | Nurse Practitioner | Cumberland County Hospital System Inc | 1201 Walter Reed Rd, Fayetteville, NC 28304-4437 |
| Hannah Elizabeth Foote Bensimhon | Cardiovascular Disease (cardiology) | Cumberland County Hospital System Inc | 800 Tighman Dr, Dunn, NC 28334-5510 |
| Teresa L Conrad | Obstetrics/gynecology | Cumberland County Hospital System Inc | 1341 Walter Reed Rd, Fayetteville, NC 28304-4415 |
| Georgia A Strickland | Nurse Practitioner | Cumberland County Hospital System Inc | 1724 Roxie Ave, Suite 18, Fayetteville, NC 28304-1623 |
| Keira Marie Donaldson | Nurse Practitioner | Cumberland County Hospital System Inc | 1307 Avon St, Fayetteville, NC 28304-4423 |
| Austin P Matthews | Podiatry | Cumberland County Hospital System Inc | 815 Wesley Pines Rd, Lumberton, NC 28358-2359 |
| Thusitha R Dissanayake | Internal Medicine | Cumberland County Hospital System Inc | 101 Robeson St, Suite 300, Fayetteville, NC 28301-5520 |
| Street Address |
711 EXECUTIVE PL FL 4 |
| City | FAYETTEVILLE |
| State | NC |
| Zip | 28305-5193 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura H Taylor | Clinical Social Worker | Cumberland County Hospital System Inc | 711 Executive Pl, Fl 4, Fayetteville, NC 28305-5193 |
| Scott Mackenzie | Nurse Practitioner | Cumberland County Hospital System Inc | 711 Executive Pl, Fl 4, Fayetteville, NC 28305-5193 |
| Donna M Miller-carroll | Clinical Social Worker | Cumberland County Hospital System Inc | 711 Executive Pl, Fl 4, Fayetteville, NC 28305-5193 |
| Scott M Klenzak | Psychiatry | Cumberland County Hospital System Inc | 711 Executive Pl, Fl 4, Fayetteville, NC 28305-5193 |
| Marla R. Hemphill | Psychiatry | Cumberland County Hospital System Inc | 711 Executive Pl, Fayetteville, NC 28305-5193 |
| Barbara V Wise | Psychiatry | Cumberland County Hospital System Inc | 711 Executive Pl, Fayetteville, NC 28305-5193 |
| Susan E Lees | Clinical Social Worker | Cumberland County Hospital System Inc | 711 Executive Pl, Fl 4, Fayetteville, NC 28305-5193 |
| Terrence L Sproul | Clinical Social Worker | Cumberland County Hospital System Inc | 711 Executive Pl, Fayetteville, NC 28305-5193 |
| Ngu Wah Aung | Psychiatry | Cumberland County Hospital System Inc | 711 Executive Pl, Fayetteville, NC 28305-5193 |
| Antoine L Davis | Undefined Non-physician Type (specify) | Cumberland County Hospital System Inc | 711 Executive Pl, Fl 4, Fayetteville, NC 28305-5193 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George C Pantelakos | Family Medicine | 1248 Fort Bragg Rd, Fayetteville, NC 28305-4728 | |
| Cynthia J Hardwick | Psychologist, Clinical | 100 Parkview Ave, Fayetteville, NC 28305-4908 | |
| David R Parker | Family Medicine | Village Family Care Center, P.a. | 1248 Fort Bragg Rd, Suite 200, Fayetteville, NC 28305-4982 |
| Sheri Couch | Nurse Practitioner | Village Family Care Center, P.a. | 1248 Fort Bragg Rd, Suite 200, Fayetteville, NC 28305-4982 |
| Ellen B Mclaurin | Nurse Practitioner | Village Family Care Center, P.a. | 1248 Fort Bragg Rd, Suite 200, Fayetteville, NC 28305-4982 |
| David D Stewart | Internal Medicine | 114 Broadfoot Ave, Fayetteville, NC 28305-5002 | |
| Deborah A Atkinson | Psychologist, Clinical | 1404 Raeford Rd, Fayetteville, NC 28305-5028 | |
| Railee Johnson | Clinical Social Worker | Verna Dority Msw Ccsw Inc | 1310 Raeford Rd, Suite 4, Fayetteville, NC 28305-5086 |
| Becky N Clark | Clinical Social Worker | Verna Dority Msw Ccsw Inc | 1310 Raeford Rd, Suite 3, Fayetteville, NC 28305-5086 |
| Mei-chuan Wang | Psychologist, Clinical | 2525 Raeford Rd, Suite B, Fayetteville, NC 28305-5092 | |
| Find all physicians in zip 28305 | |||
| City | FAYETTEVILLE |
| Zip Code | 28305 |
| Specialty | PSYCHIATRY |
| City + Specialty | FAYETTEVILLE + PSYCHIATRY |
Please comment or provide details below to improve the information on Kondal R Madaram.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.