Madison Women's Clinic, PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

MADISON WOMEN'S CLINIC, PLLC

Practice address

15 Madison Professional Park
Rexburg, ID 83440

Phone

(208) 356-6185

Fax

(208) 356-0378

NPI assigned

Nov 7, 2006

Last updated

Feb 13, 2012By 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

Bruce Clinton Barton, M.D.NPI 1093882490

Title

Managing Partner

Phone

(208) 356-6185

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Madison Women's Clinic Former legal business name

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Tax ID family

Madison Women's Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Madison Women's Clinic

  • Family Nurse Practitioner
  • Rexburg, ID
  • NPI 1437350139
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/c46a5838-35ac-47fa-bfe5-86530b685fbb/

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amber Lyn Redd, CNM

  • Advanced Practice Midwife
  • Rexburg, ID
  • NPI 1366018178
  Medicare reassignment Care Compare group NPD
• Matthew Hardy Allred, D.O.

  • Obstetrics & Gynecology Physician
  • Rexburg, ID
  • NPI 1780023838
  Medicare reassignment Care Compare group
• Fay Coleman Ashment, APPN-NP

  • Family Nurse Practitioner
  • Rexburg, ID
  • NPI 1629515556
  Medicare reassignment Care Compare group
• Edward E Evans, MD

  • Obstetrics & Gynecology Physician
  • Rexburg, ID
  • NPI 1164470035
  Medicare reassignment Care Compare group
• Toni Frahm, CNM

  • Advanced Practice Midwife
  • Rexburg, ID
  • NPI 1548707482
  Medicare reassignment Care Compare group
• Bruce Clinton Barton, M.D.

  • Obstetrics & Gynecology Physician
  • Rexburg, ID
  • NPI 1093882490
  Authorized official Same address or phone

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1497824106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MADISON PROFESSIONAL PARK",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "83440",
            "telephone_number": "208-356-6185",
            "fax_number": "208-356-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MADISON PROFESSIONAL PARK",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "83440",
            "telephone_number": "208-356-6185",
            "fax_number": "208-356-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON WOMEN'S CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "CLINTON",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "208-356-6185",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002756800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Women's Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Madison Park Dental Center
• Madison Park Dental Center PLLC
• Madison Physician Services
• Madison Ridge Chiropractic
• Madison Women's Clinic
• Manage With Love LLC
• Martin A Mangan, DO
• Kandi Manley, LCPC
• Talon Gervis Mansfield
• Alice Dawn Manwaring, LCSW

• Obstetrics & Gynecology Physician in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Obstetrics & Gynecology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.