Ricardo B Maddela MD PSC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

RICARDO B MADDELA MD PSC

Practice address

1413 N Elm St
Henderson, KY 42420-2768

Phone

(270) 826-9595

Fax

(270) 826-3656

NPI assigned

Nov 17, 2010

Last updated

Nov 17, 2010By 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

Ms. Michelle Lynn Nunn

Title

Receptionist

Phone

27088269595

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Ricardo Barrios Maddela, MD

  • Surgery Physician
  • Henderson, KY
  • NPI 1053426163
  NPD (past)

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1508168972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1548",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424191548",
            "telephone_number": "270-826-9595",
            "fax_number": "270-826-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 N ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202768",
            "telephone_number": "270-826-9595",
            "fax_number": "270-826-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO B MADDELA MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "NUNN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "27088269595",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64193139",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reflext Staffing
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• Regional Health Care Affiliates, Inc
• Renal Life Link Inc (Gardenside Dialysis)
• Denna Reynolds, MS, OTR/L
• Julie W Rice, NP
• Sue Carol Richards, SW, PSC
• Martha Y Ridley, APRN
• Gerald R Rightmyer, M.D.
• Katelyn A Rinell, P.A.-C

• Surgery Physician in Henderson, KY
• Providers in Henderson, KY by specialty
• Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.