Thomas Gerald Maddox, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R5F37 Issued in MO

Practice address

4620 J C Nichols Pkwy
Suite 405
Kansas City, MO 64112-1617

Phone

(816) 960-0300

Fax

(816) 960-0446

NPI assigned

Nov 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. Luke's Hospital

  dba St. Luke's Community Service Clinics

  • Pediatrics Physician
  • Kansas City, MO
  • NPI 1770536781

  Family Medicine

  NPD (past)
• University Health Physicians

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1669456257

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194894261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 J C NICHOLS PKWY",
            "address_2": "SUITE 405",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121617",
            "telephone_number": "816-960-0300",
            "fax_number": "816-960-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 J C NICHOLS PKWY",
            "address_2": "SUITE 405",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121617",
            "telephone_number": "816-960-0300",
            "fax_number": "816-960-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "THOMAS",
        "middle_name": "GERALD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R5F37",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradly Grant Macoubrie, RN
• Meghan E Macy, FNP
• Alosh Madala, MD
• Nitin Madan, MD
• Catherine Elizabeth Madden, M.D.
• Christy Ann Maddux, M.S. CCC-A
• Michele Herzer Maddux, PHD
• Abraham Henry Madenge
• Matthew Jacob Mader, M.D.
• Natoya Renee Madge, WHNP-BC/ ANP-BC

• Family Medicine Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.