Active NPI
James S Maddux, MD
- Anesthesiology Physician
- Lafayette, LA
National Provider Identifier
1891715066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 03096R
- Practice address
- 611 Saint Landry St
Lafayette, LA 70506-4627 - Phone
- (337) 289-2966
- Fax
- (337) 289-2776
- NPI assigned
- Jul 20, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 03096R | LA | Primary |
Addresses
Primary practice location
611 Saint Landry St
Lafayette, LA 70506-4627
Mailing address
PO Box 53864
Lafayette, LA 70505-3864
Phone (337) 289-2966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1125296 | Medicaid | LA |
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 |
|---|---|---|---|
| 03096R | LA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206662400000",
"number": "1891715066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 53864",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705053864",
"telephone_number": "337-289-2966",
"fax_number": "337-289-2776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 SAINT LANDRY ST",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705064627",
"telephone_number": "337-289-2966",
"fax_number": "337-289-2776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDUX",
"first_name": "JAMES",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2008-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "LA",
"license": "03096R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1125296",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.