NPIMap

Organization Active NPI

Madison Medical PLLC

  • Clinical Medical Laboratory
  • Madison, WV
National Provider Identifier
1891977765
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
11402 Issued in WV
Legal business name
MADISON MEDICAL PLLC
Practice address
467 Main St
Suite 200
Madison, WV 25130-1223
Phone
(304) 369-5170
Fax
(304) 369-0946
NPI assigned
Dec 3, 2007
Organization subpart
No

National Provider Directory

National Provider Directory

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Dr. Robert B Atkins, MD
Title
Managing Physician
Phone
(304) 369-5170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 11402 WV Primary

Addresses

Primary practice location

467 Main St
Suite 200
Madison, WV 25130-1223

Mailing address

467 Main St
Suite 200
Madison, WV 25130-1223
Phone (304) 369-5170

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1891977765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 MAIN ST",
            "address_2": "SUITE 200",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301223",
            "telephone_number": "304-369-5170",
            "fax_number": "304-369-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 MAIN ST",
            "address_2": "SUITE 200",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301223",
            "telephone_number": "304-369-5170",
            "fax_number": "304-369-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "ATKINS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGING PHYSICIAN",
        "authorized_official_telephone_number": "304-369-5170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WV",
            "license": "11402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.