Active NPI
John C Madigan Jr., M.D.
- Ophthalmology Physician
- Wethersfield, CT
National Provider Identifier
1477501823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 021028
- Practice address
- 119 Lantern LN
Wethersfield, CT 06109-4049 - Phone
- (860) 721-0155
- Fax
- (860) 513-1535
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 021028 | CT | Primary |
Addresses
Primary practice location
119 Lantern LN
Wethersfield, CT 06109-4049
Mailing address
119 Lantern LN
Wethersfield, CT 06109-4049
Phone (860) 721-0155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021028 | CT | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338595200000",
"number": "1477501823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 LANTERN LN",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061094049",
"telephone_number": "860-721-0155",
"fax_number": "860-513-1535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 LANTERN LN",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061094049",
"telephone_number": "860-721-0155",
"fax_number": "860-513-1535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADIGAN",
"first_name": "JOHN",
"middle_name": "C",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2012-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CT",
"license": "021028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wethersfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.