Madad Group Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD2007-0654 Issued in NM

Legal business name

MADAD GROUP INC

Practice address

3600 Cerrillos Rd Ste 724C
Santa Fe, NM 87507-2690

Phone

(575) 628-0926

NPI assigned

Jul 3, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Michael Melamed, MD

Title

President

Phone

(575) 628-0926

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246579200000",
    "number": "1013146679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 CERRILLOS RD STE 281",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 CERRILLOS RD STE 724C",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875072690",
            "telephone_number": "575-628-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADAD GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-03",
        "last_updated": "2009-07-03",
        "status": "A",
        "authorized_official_last_name": "MELAMED",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-628-0926",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "NM",
            "license": "MD2007-0654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk Walter Macgillivray, DDS
• Carol Theodor Machendrie, LISW
• David M Macias, M.D.
• Nicole Mackey
• Linda L. Macquigg, LPCC
• Michaella Maddry
• Mia Madigan
• Julie A Madrid, LPCC
• Marcus Madrid
• Richard Madrid

• Dermatology Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Dermatology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.