Adrienne Nicole Madison
Individual provider Active NPI Emergency Medicine Physician · Baton Rouge, LA
NPI 1235456963 · NPPES record last updated May 28, 2015
Key facts
- NPI
- 1235456963
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 206311 (LA)
- Practice address
- 5825 Airline Hwy
Baton Rouge, LA 70805-2408 - Phone
- (913) 232-6033
- NPI assigned
- Apr 20, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160620001654 | TX | Practitioner - Emergency Medicine | 7012159460 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206311 | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Emergency Services Physician Group-Houston PLLC | Emergency Medicine | Current |
Accepting new patients |
| Emergency Medicine Services of TX, PLLC | Emergency Medicine | Current |
Accepting new patients |
| Louisiana Em-1 Medical Services, a Medical Corporation | Emergency Medicine | Past | Accepting new patients |
| Tchefuncta Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Locations
504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111
21214 Northwest Fwy
Cypress, TX 77429
Phone (832) 912-3500
225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400
710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000
6191 E Sam Houston Pkwy N
#B
Houston, TX 77049
Phone (713) 295-5300
13338 Tomball Pkwy
Houston, TX 77086
Phone (281) 517-1000
540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288
22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326
11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600
11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
17200 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-2008
26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700
605 Holderrieth Blvd
Tomball, TX 77375
Phone (281) 401-7500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 206311 | LA | Yes |
Addresses
Primary practice location
5825 Airline Hwy
Baton Rouge, LA 70805-2408
Mailing address
5825 Airline Hwy
Baton Rouge, LA 70805-2408
Phone (913) 232-6033
NPI Registry JSON
{
"created_epoch": "1271721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432771200000",
"number": "1235456963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5825 AIRLINE HWY",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708052408",
"telephone_number": "913-232-6033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5825 AIRLINE HWY",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708052408",
"telephone_number": "913-232-6033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADISON",
"first_name": "ADRIENNE",
"middle_name": "NICOLE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-20",
"last_updated": "2015-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "206311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
- Mary Elizabeth Maddox
- Made Whole Counseling, LLC
- April Marie Madere
- Kayla Anne Madere
- Tracy M Madere
- Mag LLC
- Jamya Magee
- Norma Arlene Magee
- Richard Andrew Magee
- Ashton Maggio
All providers in Baton Rouge, LA · Emergency Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.