Madison Street Company Nurse Practitioner LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MADISON STREET COMPANY NURSE PRACTITIONER LLC

Practice address

55 Madison St
Ste 355
Denver, CO 80206-5419

Phone

(303) 377-2020

Fax

(303) 377-2022

NPI assigned

Jul 23, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Dan Zebarth, VP

Title

Practice Administrator

Phone

(303) 468-0432

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Madison Street Provider Network Inc

  • Ophthalmology Physician
  • Denver, CO
  • NPI 1699768663

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1376985168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MADISON ST",
            "address_2": "STE 355",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065419",
            "telephone_number": "303-377-2020",
            "fax_number": "303-377-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MADISON ST",
            "address_2": "STE 355",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065419",
            "telephone_number": "303-377-2020",
            "fax_number": "303-377-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON STREET COMPANY NURSE PRACTITIONER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "ZEBARTH",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "303-468-0432",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "VP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44550782",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kari D Mader, M.D.
• Norma Isela Madera
• Wendy Madigosky, MD
• Madison Dale Counseling and Consulting, LLC
• Madison Street Anesthesia LLC
• Madison Street Provider Network Inc
• Madison Street Provider Network Inc
• Madison Street Surgery Center, LLC
• Alice Cook Madison, MD
• Bruce Madison, M.D.

• All providers in Denver, CO
• Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.