NPIMap

Individual provider Active NPI

Madison E Roman, PA-C

  • Surgical Physician Assistant
  • Mesa, AZ
National Provider Identifier
1144951245
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
11528 Issued in AZ
Practice address
10238 E Hampton Ave Ste 301C
Mesa, AZ 85209-3322
Phone
(480) 882-5730
NPI assigned
Jun 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 11528 AZ Primary
Physician Assistant 363A00000X

Addresses

Primary practice location

10238 E Hampton Ave Ste 301C
Mesa, AZ 85209-3322

Mailing address

10238 E Hampton Ave Ste 301C
Mesa, AZ 85209-3322
Phone (480) 882-5730

Other practice location 1

1003 Bellefontaine Ave Ste 125
Lima, OH 45804-1867
Phone (419) 998-8207

Other identifiers 1

IdentifierTypeStateIssuer
0009928MedicaidOH

Other names 1

  • Madison Williams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, AZ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230207001519 OH Practitioner - Physician Assistant 7517339252 Reassigns benefits to 1 organization
I20260507003519 AZ Practitioner - Physician Assistant 7517339252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

10238 E Hampton Ave
Suite 301C
Mesa, AZ 85209-3322
Phone (480) 354-3200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
11528AZMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Professional Corporation CurrentSince Jan 23, 2023 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Jan 23, 2023 Accepting new patients
Lima Memorial Professional Corporation Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

L3982
Columbus, OH 43260

1003 Bellefontaine Ave
Ste 125
Lima, OH 45804
Phone (419) 998-8207

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

Interoperability endpoints

  • Direct secure messaging: madison.williams@lmpc.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1144951245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10238 E HAMPTON AVE STE 301C",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093322",
            "telephone_number": "480-882-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10238 E HAMPTON AVE STE 301C",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093322",
            "telephone_number": "480-882-5730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 Bellefontaine Ave Ste 125",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458041867",
            "country_code": "US",
            "telephone_number": "419-998-8207",
            "fax_number": "419-998-8216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "MADISON",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "11528",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009928",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "WILLIAMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.