NPIMap

Organization Active NPI

Edward K. Madsen, M.D., a Professional Corporation

  • Preferred Provider Organization
  • Price, UT
National Provider Identifier
1265677678
Registry record updated Dec 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
1612038905 Issued in UT
Legal business name
EDWARD K. MADSEN, M.D., A PROFESSIONAL CORPORATION
Practice address
590 E 100 N Ste 4
Price, UT 84501-2600
Phone
(435) 637-7551
NPI assigned
Dec 14, 2008
Last updated
Dec 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2008

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

Authorized official

Name
Edward K MadsenNPI 1689635914
Title
Employer
Phone
(435) 637-7551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 1612038905 UT Primary

Addresses

Primary practice location

590 E 100 N Ste 4
Price, UT 84501-2600

Mailing address

590 E 100 N Ste 4
Price, UT 84501-2600
Phone (435) 637-7551

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1229212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229212800000",
    "number": "1265677678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 E 100 N STE 4",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845012600",
            "telephone_number": "435-637-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 E 100 N STE 4",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845012600",
            "telephone_number": "435-637-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD K. MADSEN, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-14",
        "last_updated": "2008-12-14",
        "status": "A",
        "authorized_official_last_name": "MADSEN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EMPLOYER",
        "authorized_official_telephone_number": "435-637-7551"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "UT",
            "license": "1612038905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Price, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2008; 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.