Organization Active NPI

John F Madden MD PC

  • Clinic/Center
  • Glendale, AZ
National Provider Identifier
1932490422
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
14386 Issued in AZ
Legal business name
JOHN F MADDEN MD PC
Practice address
10040 N 43Rd Ave
2B
Glendale, AZ 85302-2770
Phone
(623) 842-9375
NPI assigned
May 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Authorized official

Name
Dr. John Francis Madden, M.D.NPI 1538380290
Title
President
Phone
(623) 842-9375

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 14386 AZ Primary

Addresses

Primary practice location

10040 N 43Rd Ave
2B
Glendale, AZ 85302-2770

Mailing address

10040 N 43Rd Ave
2B
Glendale, AZ 85302-2770
Phone (623) 842-9375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120313000620 AZ Part B Supplier - Clinic/Group Practice 0244499150 Receives reassigned benefits from 1 practitioner
Practice locations: Glendale, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0530820John F Madden MD10040 North 43Rd Avenue Suite 2B, Glendale, AZ 85302Certificate of waiverOct 11, 2027

National Provider Directory

National Provider Directory

Locations

10040 N 43rd Ave
Ste 2B
Glendale, AZ 85302
Phone (623) 842-9375

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1932490422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10040 N 43RD AVE",
            "address_2": "2B",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853022770",
            "telephone_number": "623-842-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10040 N 43RD AVE",
            "address_2": "2B",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853022770",
            "telephone_number": "623-842-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F MADDEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "MADDEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-842-9375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "14386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.