Active NPI
Steven Glen Madix, PH.D., CCC-A-SLP
- Assistive Technology Practitioner Audiologist
- Ruston, LA
National Provider Identifier
1619092137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Practitioner Audiologist
- License
- 5076
- Practice address
- 120 Robinson Hall
Ruston, LA 71272-0001 - Phone
- (318) 257-4764
- Fax
- (318) 257-4492
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Assistive Technology Practitioner Audiologist | 231HA2400X | 5076 | LA | Primary |
Addresses
Primary practice location
120 Robinson Hall
Ruston, LA 71272-0001
Mailing address
120 Robinson Hall
Ruston, LA 71272-0001
Phone (318) 257-4764
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1503 Goodwin Rd
Suite 205
Ruston, LA 71270-2938
Phone (318) 251-1572
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5076 | LA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Audiology and Hearing AIDS, LLC | Current | Accepting new patients | |
| T.L.Roberts Enterprises | Past | Accepting new patients | |
| Louisiana Tech University | Audiologist | Past | Accepting new patients |
Locations
1503 Goodwin Rd
Ste 205
Ruston, LA 71270
Phone (318) 251-1572
2271 Arkansas Rd
West Monroe, LA 71291
Phone (318) 582-5317
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Audiologist-Hearing Aid Fitter
- Ruston, LA
- NPI 1568023588
-
- Audiologist
- Ruston, LA
- NPI 1457551723
-
- Audiologist-Hearing Aid Fitter
- Alexandria, LA
- NPI 1720263908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619092137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 ROBINSON HALL",
"city": "RUSTON",
"state": "LA",
"postal_code": "712720001",
"telephone_number": "318-257-4764",
"fax_number": "318-257-4492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 ROBINSON HALL",
"city": "RUSTON",
"state": "LA",
"postal_code": "712720001",
"telephone_number": "318-257-4764",
"fax_number": "318-257-4492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADIX",
"first_name": "STEVEN",
"middle_name": "GLEN",
"name_prefix": "Dr.",
"credential": "PH.D., CCC-A-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "LA",
"license": "5076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ruston, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.