Active NPI
Ann M Madden, PA-C
- Physician Assistant
- Philadelphia, PA
National Provider Identifier
1851582811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA001662L
- Practice address
- 1845 N 23Rd St
Philadelphia, PA 19121-2055 - Phone
- (215) 235-3113
- NPI assigned
- Aug 6, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA001662L | PA | Primary |
Addresses
Primary practice location
1845 N 23Rd St
Philadelphia, PA 19121-2055
Mailing address
1845 N 23Rd St
Philadelphia, PA 19121-2055
Phone (215) 235-3113
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA001662L | PA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390176000000",
"number": "1851582811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 N 23RD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191212055",
"telephone_number": "215-235-3113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 N 23RD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191212055",
"telephone_number": "215-235-3113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDEN",
"first_name": "ANN",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-06",
"last_updated": "2014-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA001662L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.