Michael Thomas Madison (NPI# 1821077876, PAC ID# 5890609580) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL RADIOLOGY.
| Nation Provider ID (NPI) | 1821077876 |
| PAC ID by PECOS | 5890609580 |
| Professional Enrollment ID | I20080130000624 |
| Full Name | Michael Thomas Madison |
| Organization Legal Name | ST PAUL RADIOLOGY OUTPATIENT IMAGING LLC |
| Address |
250 Thompson St Saint Paul MN 55102-2370 |
| Phone Number | 6512922000 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1987 |
| Primary Specialty | INTERVENTIONAL RADIOLOGY |
| Secondary Specialties | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 3870495591 |
| Number of Group Practice Members | 72 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240038 | ALLINA UNITED HOSPITAL |
| 240106 | REGIONS HOSPITAL |
| 240063 | ST JOSEPH'S HOSPITAL |
| 240210 | HEALTHEAST ST JOHN'S HOSPITAL |
| 240053 | PARK NICOLLET METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1575 Beam Ave, Maplewood, MN 55109-1126 | 6512327183 | MIDWEST RADIOLOGY PA |
| 250 Thompson St, Saint Paul, MN 55102-2370 | 6512922000 | ST PAUL RADIOLOGY OUTPATIENT IMAGING LLC |
| 250 Thompson St, Saint Paul, MN 55102-2370 | 6512976504 | MIDWEST RADIOLOGY PA |
| 333 Smith Ave N, Saint Paul, MN 55102-2344 | 6512208256 | MIDWEST RADIOLOGY PA |
| 640 Jackson St, Saint Paul, MN 55101-2502 | 6512543456 | MIDWEST RADIOLOGY PA |
| 69 Exchange St W, Saint Paul, MN 55102-1004 | 6512323183 | MIDWEST RADIOLOGY PA |
| Organization Legal Name | ST PAUL RADIOLOGY OUTPATIENT IMAGING LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adrienne Vargo | Diagnostic Radiology | St Paul Radiology Outpatient Imaging LLC | 250 Thompson St, Saint Paul, MN 55102-2370 |
| Jeffrey P Lassig | Diagnostic Radiology | St Paul Radiology Outpatient Imaging LLC | 250 Thompson St, Saint Paul, MN 55102-2370 |
| Caroline L Ho | Diagnostic Radiology | St Paul Radiology Outpatient Imaging LLC | 250 Thompson St, Saint Paul, MN 55102-2370 |
| James K Goddard Iii | Diagnostic Radiology | St Paul Radiology Outpatient Imaging LLC | 250 Thompson St, Saint Paul, MN 55102-2370 |
| Philip M Ditmanson | Diagnostic Radiology | St Paul Radiology Outpatient Imaging LLC | 250 Thompson St, Saint Paul, MN 55102-2370 |
| Street Address |
250 THOMPSON ST |
| City | SAINT PAUL |
| State | MN |
| Zip | 55102-2370 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cherie S Nienow | Nurse Practitioner | Midwest Radiology Pa | 250 Thompson St, Saint Paul, MN 55102-2370 |
| Amanda K Keogh | Nurse Practitioner | Midwest Radiology Pa | 250 Thompson St, Saint Paul, MN 55102-2370 |
| Megan M Ellingson | Nurse Practitioner | Midwest Radiology Pa | 250 Thompson St, Saint Paul, MN 55102-2370 |
| Adam B Jeffers | Diagnostic Radiology | Midwest Radiology Pa | 250 Thompson St, Saint Paul, MN 55102-2370 |
| Peter C Conklin | Diagnostic Radiology | Midwest Radiology Pa | 250 Thompson St, Saint Paul, MN 55102-2370 |
| Courtney Michelle Smith | Nurse Practitioner | Midwest Radiology Pa | 250 Thompson St, Saint Paul, MN 55102-2370 |
| Adrienne Vargo | Diagnostic Radiology | St Paul Radiology Outpatient Imaging LLC | 250 Thompson St, Saint Paul, MN 55102-2370 |
| Brenda L Deutsch | Nurse Practitioner | Midwest Radiology Pa | 250 Thompson St, Saint Paul, MN 55102-2370 |
| Jeffrey P Lassig | Diagnostic Radiology | St Paul Radiology Outpatient Imaging LLC | 250 Thompson St, Saint Paul, MN 55102-2370 |
| Mark Henry Bechtel | Diagnostic Radiology | Midwest Radiology Pa | 250 Thompson St, Saint Paul, MN 55102-2370 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Reid A Martinson | Anesthesiology | Associated Anesthesiologists Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Nathan M Frink | Internal Medicine | Healtheast Medical Research Institute | 69 Exchange W St, Saint Paul, MN 55102-1004 |
| Orren Wexler | Internal Medicine | Healtheast Medical Research Institute | 69 Exchange W St, Saint Paul, MN 55102-1004 |
| Faisal M Choudhry | Anesthesiology | Associated Anesthesiologists Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Mueni C Mualuko | Nurse Practitioner | Healtheast Medical Research Institute | 69 Exchange W St, Saint Paul, MN 55102-1004 |
| Joshua B Colton | Gastroenterology | Minnesota Gastroenterology Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Genet N Ghebre | Nurse Practitioner | Healtheast Medical Research Institute | 69 Exchange W St, Saint Paul, MN 55102-1004 |
| Thomas Christopher Sanneman | Anesthesiology | Associated Anesthesiologists Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Douglas B Nelson | Gastroenterology | Minnesota Gastroenterology Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Patrick M Oreilly | Gastroenterology | Minnesota Gastroenterology Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Find all physicians in zip 55102 | |||
| City | SAINT PAUL |
| Zip Code | 55102 |
| Specialty | INTERVENTIONAL RADIOLOGY |
| City + Specialty | SAINT PAUL + INTERVENTIONAL RADIOLOGY |
Please comment or provide details below to improve the information on Michael Thomas Madison.
| 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.