Maddela Medical Services, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MADDELA MEDICAL SERVICES, P.C.

Practice address

525 N Miller Rd
206
Scottsdale, AZ 85257-4655

Phone

(480) 809-6328

NPI assigned

Aug 10, 2010

Organization subpart

No

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

Authorized official

Name

J Edward Bernardo Maddela, M.D.

Title

President/Ceo/Incorporator

Phone

(707) 319-9790

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1245545664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N MILLER RD",
            "address_2": "206",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852574655",
            "telephone_number": "480-809-6328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N MILLER RD",
            "address_2": "206",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852574655",
            "telephone_number": "480-809-6328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADDELA MEDICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "MADDELA",
        "authorized_official_first_name": "J EDWARD",
        "authorized_official_middle_name": "BERNARDO",
        "authorized_official_title_or_position": "PRESIDENT/CEO/INCORPORATOR",
        "authorized_official_telephone_number": "707-319-9790",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Lynne Macphee, ACNP
• Macy Care II, Inc. (Desert Jewel at Aberdeen)
• Macy Care II, Inc. (Desert Jewel at Aberdeen)
• Cheryl Lynn Macy, M.D.
• Kevin Madayag, PA-C
• Jean Marie Madden, D.M.D.
• Jolene Rae Madden, M.ED., CCC-SLP
• Josie M Madden, PHARM.D.
• Marnie Lynn Madden, M.S., CCC-SLP
• Madera Wellness Center, LLC

• Family Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.