Eugene Charles Madonia

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

0101031630 Issued in VA

Practice address

101 Cleveland Ave
Martinsville, VA 24112-3700

Phone

(276) 632-4181

Fax

(276) 632-1559

NPI assigned

Oct 27, 2005

Last updated

Sep 22, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Danville Regional Medical Center, LLC

  dba SOVAH Health Martinsville

  • General Acute Care Hospital
  • Martinsville, VA
  • NPI 1225208705
  Medicare reassignment

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253577600000",
    "number": "1669462859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CLEVELAND AVE",
            "address_2": "SUITE A",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241123700",
            "telephone_number": "276-632-4181",
            "fax_number": "276-632-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CLEVELAND AVE",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241123700",
            "telephone_number": "276-632-4181",
            "fax_number": "276-632-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADONIA",
        "first_name": "EUGENE",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2009-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101031630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6188117",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert W Long
• Love & Safety Transportation LLC
• Loving Hands Hospice of Virginia
• LTL Trichology Clinic LLC
• Luxottica Retail North America Inc (Sears Optical #C0094)
• Mark T Mahoney, D.O.
• Bobbie Sue Maiorano, M.S. CCC-SLP
• Emily Mallinak, DDS
• Laura R Mallinak
• Raymond Frank Mallinak, DDS

• Neurology Physician in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Neurology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.