John Edward Madsen, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

016619 Issued in CT

Practice address

234A Bank St
New London, CT 06320-6054

Phone

(860) 442-0290

Fax

(860) 442-2136

NPI assigned

Apr 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Litchfield County Gastroenterology Associates, LLC

  • Gastroenterology Physician
  • Torrington, CT
  • NPI 1871513283
  NPD (past)

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1144286667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234A BANK ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063206054",
            "telephone_number": "860-442-0290",
            "fax_number": "860-442-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234A BANK ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063206054",
            "telephone_number": "860-442-0290",
            "fax_number": "860-442-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADSEN",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CT",
            "license": "016619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001168194",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiana Macburney
• Lynn Macdonald, RN
• Bonnie Suzanne Mackenzie, MD
• Sage Anne Macleod, CNM
• Dejaunie Madourie
• Magnolia Wellness, LLC
• Ashok K Maheshwari, MD
• John Francis Mainella, PTA
• Jessie Makela, BA
• Nisha Malhotra, MD

• Gastroenterology Physician in New London, CT
• Providers in New London, CT by specialty
• Gastroenterology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.