Organization Active NPI

Madix Professional Service Company

  • Specialist
  • Virginia Beach, VA
National Provider Identifier
1710125505
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MADIX PROFESSIONAL SERVICE COMPANY
Practice address
4667 Haygood Rd Ste 506
Virginia Beach, VA 23455-5444
Phone
(757) 460-0295
NPI assigned
Feb 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
O 'Mat' Mathews
Title
Owner
Phone
(757) 460-0295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

4667 Haygood Rd Ste 506
Virginia Beach, VA 23455-5444

Mailing address

4667 Haygood Rd Ste 506
Virginia Beach, VA 23455-5444
Phone (757) 460-0295

Other names 1

  • Madix PSC Other name

National Provider Directory

National Provider Directory

Locations

4667 Haygood Rd
Ste 506
Virginia Beach, VA 23455
Phone (757) 227-6081

NPI Registry JSON

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1710125505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4667 HAYGOOD RD STE 506",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555444",
            "telephone_number": "757-460-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4667 HAYGOOD RD STE 506",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555444",
            "telephone_number": "757-460-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADIX PROFESSIONAL SERVICE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "O",
        "authorized_official_middle_name": "'MAT'",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-460-0295"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madix PSC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.