Sharifa K Maddix, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME97053 Issued in FL

Practice address

1800 W Hibiscus Blvd Ste 131
Melbourne, FL 32901

Phone

(321) 234-4200

NPI assigned

Nov 3, 2006

Last updated

Apr 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1891874426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W HIBISCUS BLVD STE 131",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012633",
            "telephone_number": "321-234-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W HIBISCUS BLVD STE 131",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32901",
            "telephone_number": "321-234-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7630 N Wickham Rd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329408257",
            "country_code": "US",
            "telephone_number": "321-610-7982",
            "fax_number": "321-610-7983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADDIX",
        "first_name": "SHARIFA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME97053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME97053",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Marie Macleod
• Cassandra Elaine Macmillian
• Michelle Jane Madan, ARNP
• Madden Investments LLC (Melbourne Athletic Club Physical Therapy)
• Kateria Shantal Madden
• Dara Maddox
• Esther G Madeira
• Deborah Madelon
• Madhavi Chary LLC
• John C Madlener, MD

• Specialist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.