John Mark Maddox in Tacoma - Colon & Rectal Surgery
John Mark Maddox - NPI 1104801208
John Mark Maddox is a Colon & Rectal Surgery in Tacoma, Washington. John Mark Maddox practices all healthcare services and medical treatments related to Colon & Rectal Surgery. The NPI Number for John Mark Maddox is 1104801208. The last update date is 2022-12-07.
John Mark Maddox's current location address is 1145 Broadway Ste 300, Tacoma, Washington. You can contact this provider via phone number 2534031130. The mailing address for John Mark Maddox is 1145 Broadway Ste 300, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Mark Maddox |
|---|---|
| Address | 1145 Broadway Ste 300, Tacoma, Washington |
| Phone Number | 2534031130 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104801208 |
|---|---|
| Provider Enumeration Date | 2005-12-12 |
| Last Updated Date | 2022-12-07 |
Provider Mailing Address Detail
| Address | 1145 Broadway Ste 300 |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984023523 |
| Phone Number | 2534031130 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Colon & Rectal Surgery |
|---|---|
| Taxonomy | 208C00000X |
| Licence No | 133071 |
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Definition: A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 297589 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John Mark Maddox by the Centers for Medicare & Medicaid Services?
The John Mark Maddox has been issued the NPI (National Provider Identifier) 1104801208 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where John Mark Maddox's facilities are geographically located?
The facilities of John Mark Maddox are physically situated at the following location: 1145 Broadway Ste 300, Tacoma, WA, 984023523.
What is the area of specialization for John Mark Maddox, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John Mark Maddox is Colon & Rectal Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208C00000X.
On what date was the 1104801208 assigned to John Mark Maddox?
The John Mark Maddox was issued its 1104801208 on 2005-12-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the John Mark Maddox's details last updated?
The information pertaining to the John Mark Maddox, including its address, specialty, and other details, was most recently updated on 2022-12-07.