Madeliene Elaine, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MADELIENE ELAINE, LLC

Practice address

5530 Wisconsin Ave Ste 612
Chevy Chase, MD 20815-4430

Phone

(412) 638-8585

NPI assigned

Apr 7, 2021

Organization subpart

No

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

Authorized official

Name

Madeliene Gainers, MDNPI 1679779565

Title

Owner

Phone

(412) 638-8585

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Madeliene Elaine Gainers, MD

  • Dermatology Physician
  • St Louis, MO
  • NPI 1679779565

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1255910063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10536 JOYCETON DR",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207741332",
            "telephone_number": "412-638-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 612",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154430",
            "telephone_number": "412-638-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADELIENE ELAINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "GAINERS",
        "authorized_official_first_name": "MADELIENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-638-8585",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M Management Group LLC
• M Medical Group, Inc
• M Medical Group, Inc.
• Fatima Maarouf, DDS
• James Francis Mackin, MD
• Ernest R Madison
• Aldino P. Maggiulli, B.A., D.M.D., G.P.R.
• Colette M Magnant, MD
• Kelli B. Magnarelli, BSN,RN
• Edward G. Magur, M.D.

• Medical Specialty Clinic/Center in Chevy Chase, MD
• Providers in Chevy Chase, MD by specialty
• Medical Specialty Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.