Active NPI
Madix Professional Service Company
- Specialist
- Virginia Beach, VA
National Provider Identifier
1710125505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
National Provider Directory
National Provider DirectoryLocations
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.