Active NPI
John C Madden, M.D.
- Pediatrics Physician
- Saint Louis, MO
National Provider Identifier
1750569810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2005026245
- Practice address
- 9580 Watson Rd Ste a
Saint Louis, MO 63126-1539 - Phone
- (314) 965-5437
- Fax
- (314) 965-5439
- NPI assigned
- Jan 31, 2008
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2005026245 | MO | Primary |
Addresses
Primary practice location
9580 Watson Rd Ste a
Saint Louis, MO 63126-1539
Mailing address
PO Box 23340
Saint Louis, MO 63156-3340
Phone (314) 965-5437
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 342893 | Other | MO | GHP |
| 2725138 | Other | MO | CIGNA |
| 9310122 | Other | MO | AETNA |
| 906382 | Other | MO | HEALTHLINK |
| 2868804 | Other | MO | UHC |
| 000000561731 | Other | MO | ANTHEM BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005026245 | MO | MD | Pediatrics Physician |
Interoperability endpoints
- john.madden.p1@direct.essehealth.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477440000000",
"number": "1750569810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23340",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631563340",
"telephone_number": "314-965-5437",
"fax_number": "314-965-5439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9580 WATSON RD STE A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631261539",
"telephone_number": "314-965-5437",
"fax_number": "314-965-5439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDEN",
"first_name": "JOHN",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-31",
"last_updated": "2016-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2005026245",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP",
"identifier": "342893",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2725138",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9310122",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "906382",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "2868804",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000561731",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.