NPIMap

Organization Active NPI

Madison Medical, PLLC

  • Primary Care Clinic/Center
  • Madison, WV
National Provider Identifier
1629035449
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
11402 Issued in WV
Legal business name
MADISON MEDICAL, PLLC
Practice address
467 Main St
Suite 200
Madison, WV 25130-2200
Phone
(304) 369-5170
Fax
(304) 369-0946
NPI assigned
Apr 26, 2006
Last updated
Jun 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Authorized official

Name
Robert B Atkins, MD
Title
Dr
Phone
(304) 369-5170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 11402 WV Primary

Addresses

Primary practice location

467 Main St
Suite 200
Madison, WV 25130-2200

Mailing address

467 Main St
Suite 200
Madison, WV 25130-2200
Phone (304) 369-5170

National Provider Directory

National Provider Directory

Locations

471 Main St
Madison, WV 25130
Phone (304) 369-5170

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1629035449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 MAIN ST",
            "address_2": "SUITE 200",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251302200",
            "telephone_number": "304-369-5170",
            "fax_number": "304-369-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 MAIN ST",
            "address_2": "SUITE 200",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251302200",
            "telephone_number": "304-369-5170",
            "fax_number": "304-369-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "ATKINS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "304-369-5170",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WV",
            "license": "11402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.