Madison Manual Medicine, LTD.

Key facts

NPI

1972867141

Entity type

Organization (NPI type 2)

Primary specialty

Health Service Clinic/Center 261QH0100X

Legal business name

MADISON MANUAL MEDICINE, LTD.

Practice address

1709 Monroe St
Suite 2
Madison, WI 53711-2022

Phone

(608) 512-7177

Fax

(608) 807-5176

NPI assigned

Jul 2, 2012

Organization subpart

No

Authorized official

Name

John Edward Downs, M.D.

Title

President/Owner

Phone

(608) 512-7177

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 21, 2012.

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1972867141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 MONROE ST",
            "address_2": "SUITE 2",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112022",
            "telephone_number": "608-512-7177",
            "fax_number": "608-807-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 MONROE ST",
            "address_2": "SUITE 2",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112022",
            "telephone_number": "608-512-7177",
            "fax_number": "608-807-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON MANUAL MEDICINE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-02",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "DOWNS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "608-512-7177",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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