Madsen Family Medicine PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OP00001511 Issued in WA

Legal business name

MADSEN FAMILY MEDICINE PLLC

Practice address

9708 N Nevada St Ste 203
Spokane, WA 99218-6004

Phone

(509) 863-9240

Fax

(509) 574-5863

NPI assigned

Sep 11, 2009

Organization subpart

No

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

Authorized official

Name

Carolyn Madsen

Title

Credentialing Coordinator

Phone

(509) 290-6557

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2462/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Lon C. Madsen, DO

  • Family Medicine Physician
  • Spokane, WA
  • NPI 1558433052
  Medicare reassignment NPD

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1275866048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9708 N NEVADA ST STE 203",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992186004",
            "telephone_number": "509-863-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9708 N NEVADA ST STE 203",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992186004",
            "telephone_number": "509-863-9240",
            "fax_number": "509-574-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADSEN FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-11",
        "last_updated": "2021-08-03",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "MADSEN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "509-290-6557"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00001511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Lynne Maddox, CPC
• Lorraine Rosemarie Madewell, RN
• Tricia Elizabeth Madison
• James R Madrian, M.D.
• Maria Fernanda Nunez Madrigal, CRNA
• Lon C. Madsen, DO
• Tamera Kay Madsen, RDH
• Mae's Hope, Inc.
• Kristen M Maefsky, ARNP
• Lindsey Sachi Maeshima, PH.D.

• Family Medicine Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.