Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN MARK MADDOX, M.D.
ActiveDR. JOHN MARK MADDOX, M.D. is a Colon & Rectal Surgery healthcare provider located in TACOMA, Washington. NPI 1104801208 is currently active in the NPPES registry. Verify at CMS.
Colon & Rectal Surgery · TACOMA, WA
Registration Details
- NPI Number
- 1104801208
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 12, 2005 (20.682408669291 yrs)
- Last Updated
- Dec 7, 2022
- Licenses
-
133071 (CA)MD24744 (OR)133071 (CA)MD24744 (OR)MD60662688 (WA)
Practice Information
- Address
-
1145 BROADWAY STE 300TACOMA, WA, 984023523Browse WA providers · Browse ZIP 98402
- Phone
- 2534031130
- Primary Specialty
-
Colon & Rectal Surgery
208C00000X
- Additional Specialty
- General Surgery
- Additional Specialty
- Colon & Rectal Surgery
- Additional Specialty
- Colon & Rectal Surgery
- Additional Specialty
- Colon & Rectal Surgery
Other Colon & Rectal Surgery Providers in TACOMA, WA
| Name | Credential | NPI |
|---|---|---|
| DR. SHALINI RAO KANNEGANTI | M.D | 1639326192 |
| LAILA RASHIDI | M.D. | 1073839965 |
| SCOTT NGUYEN | MD | 1982145496 |
| VITAS ERIK WAGNER | MD | 1982115358 |
| POYA POURGHADERI | DO | 1306341706 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.