Madison Oak Management, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5439 Issued in TX

Legal business name

MADISON OAK MANAGEMENT, INC.

Doing business as

Stone Oak Care Center

Practice address

505 Madison Oak Dr
San Antonio, TX 78258-3974

Phone

(210) 481-9000

Fax

(210) 481-9001

NPI assigned

Apr 25, 2008

Last updated

Feb 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David M. Green

Title

President

Phone

(210) 481-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stone Oak Care Center Doing business as

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1477728863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 MADISON OAK DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583974",
            "telephone_number": "210-481-9000",
            "fax_number": "210-481-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 MADISON OAK DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583974",
            "telephone_number": "210-481-9000",
            "fax_number": "210-481-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON OAK MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-481-9000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "5439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001016069",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stone Oak Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Guillermo Madero, MD
• Madh Holdings LLC (Texas Spine and Joint Surgical Center)
• Vinu Madhusudanannair Kunnuparampil, M.D.
• Muorod Ahmed Madi, RPH
• Kimberly D Madigan, CCP
• Alexis Madison
• Erin Brooke Madison, FNP
• Jane Anne Madison, PH.D.
• Frank Lloyd Madla III, M.D.
• Katelyn Morgan Madlom

• Skilled Nursing Facility in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.