Madison Pediatrics, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

34005421 Issued in OH

Legal business name

MADISON PEDIATRICS, INC.

Practice address

55 Park Ave.
Suite 210
London, OH 43140-1121

Phone

(740) 845-7720

Fax

(740) 845-7721

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gregg M. Alexander, D.O.NPI 1992855787

Title

President

Phone

(740) 845-7720

Specialties & licenses 1

Addresses

Other identifiers 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

Practitioners 1

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

• Gregg M. Alexander, D.O.

  • Pediatrics Physician
  • London, OH
  • NPI 1992855787
  NPD (past) Authorized official

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184371200000",
    "number": "1407998347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PARK AVE.",
            "address_2": "SUITE 210",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401121",
            "telephone_number": "740-845-7720",
            "fax_number": "740-845-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PARK AVE.",
            "address_2": "SUITE 210",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401121",
            "telephone_number": "740-845-7720",
            "fax_number": "740-845-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-14",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-845-7720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "34005421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2026971",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison County Senior Citizens Center Inc
• Madison Emergency Physicians Inc
• Madison Family Health Corporation (Madsion Health Specialty Care)
• Madison Internal Medicine Inc.
• Madison Medical Center Urgent Care
• Madison-Plains Local School District
• Christopher K Madison Jr., MD
• Adam G. Manko, MD
• Tiffany Rachelle Manus, REGISTERED NURSE
• Mark a. Coate M.D. General Surgery Inc.

• Pediatrics Physician in London, OH
• Providers in London, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.