Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JASON MENNO MADDELA, SURGICAL ASSISTANT
ActiveMR. JASON MENNO MADDELA, SURGICAL ASSISTANT is a Surgical Physician Assistant healthcare provider located in WOODRIDGE, Illinois. NPI 1144666363 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · WOODRIDGE, IL
Registration Details
- NPI Number
- 1144666363
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 14, 2013 (13.285122957743 yrs)
- Last Updated
- Apr 13, 2022
Practice Information
- Address
-
2538 RAVINIA LNWOODRIDGE, IL, 605172218Browse IL providers · Browse ZIP 60517
- Phone
- 7082057678
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Medical Laboratory Technician
Other Surgical Physician Assistant Providers in WOODRIDGE, IL
| Name | Credential | NPI |
|---|---|---|
| SINCER KURIAN JACOB | PA-C | 1811322720 |
| THERESA HARRINGTON | PA-C | 1326654229 |
| MEGAN ERIN DAVIS | PA-C | 1598505331 |
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.