Individual provider Active NPI

Lawrence Madiefsky, DPM

  • Foot & Ankle Surgery Podiatrist
  • Coral Springs, FL
National Provider Identifier
1316032691
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO0001602 Issued in FL
Practice address
9753 NW 33Rd Street
Suite 201
Coral Springs, FL 33065
Phone
(954) 341-8513
Fax
(954) 341-8514
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO0001602 FL Primary

Addresses

Primary practice location

9753 NW 33Rd Street
Suite 201
Coral Springs, FL 33065

Mailing address

9753 NW 33Rd Street
Suite 201
Coral Springs, FL 33065-5795
Phone (954) 341-8513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120306000762 FL Practitioner - Podiatry 2365601689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9750 NW 33Rd St
Suite 201
Coral Springs, FL 33065-4081
Phone (954) 290-3668

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO0001602FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Madiefsky,DPM,PA CurrentSince Sep 28, 2011 Accepting new patients

Locations

8110 Royal Palm Blvd
Ste 110
Coral Springs, FL 33065
Phone (954) 341-8513

3100 Coral Hills Dr
Ste 302
Coral Springs, FL 33065
Phone (954) 341-5034

9750 NW 33rd St
Ste 201
Coral Springs, FL 33065
Phone (954) 726-9255

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1316032691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9753 NW 33RD STREET",
            "address_2": "SUITE 201",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655795",
            "telephone_number": "954-341-8513",
            "fax_number": "954-341-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9753 NW 33RD STREET",
            "address_2": "SUITE 201",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33065",
            "telephone_number": "954-341-8513",
            "fax_number": "954-341-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADIEFSKY",
        "first_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO0001602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.