Individual provider Active NPI

David Maddock, M.D.

  • Gastroenterology Physician
  • Fall River, MA
National Provider Identifier
1376540443
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
73460 Issued in MA
Practice address
289 Pleasant St
Suite 501
Fall River, MA 02721-3005
Phone
(508) 679-6611
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 73460 MA Primary

Addresses

Primary practice location

289 Pleasant St
Suite 501
Fall River, MA 02721-3005

Mailing address

289 Pleasant St
Suite 501
Fall River, MA 02721-3005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050425001205 MA Practitioner - Gastroenterology 1456390988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prima Care, PCGroup PAC ID 2567356017, 222 clinicians

Practice addresses (Care Compare)

1200 Robeson St
Fall River, MA 02720-5508
Phone (508) 673-7898

1732 Gar Hwy
Swansea, MA 02777-3906
Phone (508) 379-0012

277 Pleasant St
Fall River, MA 02721-3005

289 Pleasant St
Fall River, MA 02721-3005

67 Slade'S Ferry Boulevard
Somerset, MA 02726-1220
Phone (508) 676-3292

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy206
Upper gastrointestinal (GI) endoscopy for acid reflux157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Care, PC CurrentSince May 28, 2006 Accepting new patients
Prima Care, PC CurrentSince May 28, 2006 Accepting new patients

Locations

289 Pleasant St
Ste 501
Fall River, MA 02721
Phone (508) 679-6611

300 Hanover St
Fall River, MA 02720
Phone (508) 677-0700

289 Pleasant St
Fall River, MA 02721
Phone (508) 674-7779

277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

Interoperability endpoints

  • Direct secure messaging: david.maddock@prima.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1376540443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 PLEASANT ST",
            "address_2": "SUITE 501",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 PLEASANT ST",
            "address_2": "SUITE 501",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213005",
            "telephone_number": "508-679-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOCK",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "73460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.