Peter Vokes Madill, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

A31200 Issued in CA

Practice address

1020 Gravenstein Ave
Suite 120
Sebastopol, CA 95472-4569

Phone

(707) 823-3312

Fax

(707) 823-4901

NPI assigned

Jul 28, 2006

Last updated

Aug 21, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Peter Madill Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Peter V. Madill, M.D. a Medical Corporation

  • Family Medicine Physician
  • Sebastopol, CA
  • NPI 1134133085
  Authorized official Same address or phone

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1215941141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 GRAVENSTEIN HWY. SO.",
            "address_2": "SUITE 120",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724569",
            "telephone_number": "707-823-3312",
            "fax_number": "707-823-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 GRAVENSTEIN AVE",
            "address_2": "SUITE 120",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724569",
            "telephone_number": "707-823-3312",
            "fax_number": "707-823-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADILL",
        "first_name": "PETER",
        "middle_name": "VOKES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A31200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "MADILL",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• James Arthur Lowy, MD
• Xochiquetzal Carmela Lubin-Amaya, LMFT
• Luis T Luna Meza
• Susan Thomas Macdonald, MA
• Taffi Njuni Macharia
• Maggie Self, LMFT
• Irenne Magoulas, L.C.S.W.
• Michael Majeski, PHARM.D.
• Jillian Leilyn Manley, CMT
• Hayley Catherine Manning, PSY.D.

• Adult Medicine Physician in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.