Jenaye Liann Madigan, PA-C
Individual provider Active NPI Physician Assistant · Selma, TX
NPI 1104460641 · NPPES record last updated Jan 12, 2022
Key facts
- NPI
- 1104460641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA13110 (TX)
- Practice address
- 15069 Ih 35 N Ste 116
Selma, TX 78154-3372 - Phone
- (210) 656-4878
- Fax
- (210) 314-5044
- NPI assigned
- Oct 28, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Radiology Associates P a | Past |
Accepting new patients | |
| Tanya R. Grun, M.D., P.a. | Past |
Accepting new patients | |
| St. David'S Carenow Urgent Care PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA13110 | TX | Yes |
Addresses
Primary practice location
15069 Ih 35 N Ste 116
Selma, TX 78154-3372
Mailing address
14100 San Pedro Ave Ste 412
San Antonio, TX 78232-2009
Phone (210) 281-8669
Other providers in Selma, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.