| Kevin W Maddox, DO | |
|
1921 Stonecipher Blvd, Ada, OK 74820 | |
| (580) 421-4570 | |
| (614) 442-2430 |
| Full Name | Kevin W Maddox |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 17 Years |
| Location | 1921 Stonecipher Blvd, Ada, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598082398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 5590 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Regional Medical Center | Durango, CO | Hospital |
| Davis Hospital And Medical Center | Layton, UT | Hospital |
| Jordan Valley Medical Center | West jordan, UT | Hospital |
| Centura Health-penrose St Francis Health Services | Colorado springs, CO | Hospital |
| Salt Lake Regional Medical Center | Salt lake city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain States Pathology Pc | 4284616293 | 16 |
| Chickasaw Nation Division Of Health | 8426957523 | 244 |
| Mountain States Pathology Pc | 4284616293 | 16 |
| Southern Oklahoma Pathology Assoc Inc | 9739162694 | 2 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin W Maddox, DO Po Box 20452, Sopa/apa Cred, Columbus, OH 43220-0452 Ph: (614) 442-2406 | Kevin W Maddox, DO 1921 Stonecipher Blvd, Ada, OK 74820 Ph: (580) 421-4570 |
Dr. G. Frank Cartmell, M. D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 421 N Monte Vista St, Ada, OK 74820 Phone: 580-332-9595 Fax: 580-332-4921 | |
John Wesley Mooring, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 421 N Monte Vista St, Ada, OK 74820 Phone: 580-332-9595 Fax: 580-332-4921 |