Thomas W Madden DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

1105 Issued in TX

Legal business name

THOMAS W MADDEN DPM

Practice address

4102 S Clear Creek Rd Ste 109
Killeen, TX 76549-5954

Phone

(254) 634-3668

Fax

(254) 634-0278

NPI assigned

Apr 28, 2008

Organization subpart

No

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

Authorized official

Name

Thomas W Madden, DPMNPI 1265523138

Title

Owner

Phone

(254) 634-3668

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Thomas W Madden, DPM

  • Podiatrist
  • Killeen, TX
  • NPI 1265523138

  O20100930048795

  Same enrollment

Locations

Practitioners 1

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

• Thomas W Madden, DPM

  • Podiatrist
  • Killeen, TX
  • NPI 1265523138
  NPD Authorized official

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1972778264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 S CLEAR CREEK RD STE 109",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765495954",
            "telephone_number": "254-634-3668",
            "fax_number": "254-634-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 S CLEAR CREEK RD STE 109",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765495954",
            "telephone_number": "254-634-3668",
            "fax_number": "254-634-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS W MADDEN DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "MADDEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-634-3668",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159336002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Killeen, TX
• Providers in Killeen, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.