Michael R. Madow, M.D., LTD.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

10109 Issued in NV

Legal business name

MICHAEL R. MADOW, M.D., LTD.

Practice address

3033 W Horizon Ridge Pkwy
Suite 111
Henderson, NV 89052-3838

Phone

(702) 269-7401

Fax

(702) 269-7406

NPI assigned

May 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Michael Richard Madow, M.D., LTD.

Title

Psychiatrist

Phone

(702) 269-7401

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MICHAEL R. MADOW, M.D. Former legal business name

Locations

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1063646560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 111",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523838",
            "telephone_number": "702-269-7401",
            "fax_number": "702-269-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 111",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523838",
            "telephone_number": "702-269-7401",
            "fax_number": "702-269-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R. MADOW, M.D., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "MADOW",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "702-269-7401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., LTD."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "10109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10005000158",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MICHAEL R. MADOW, M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Janelle A Meza, FNP-C
• Jennifer Miceli
• Michael D. Wilson DDS Inc
• Michael Frank Schlaack MD LTD
• Michael Ohanlan MD Chartered
• Michael S Kaplan MD LTD
• Paul Michael, MD
• Michaela J. Tozzi, DMD, LLC
• Ephraim Michel
• Richard Michael Michelin, DO

• Psychiatry Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Psychiatry Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.