Ian Madom, MD
Orthopaedic Surgery in Wakefield, Rhode Island
1194942078- Practice location
- 1 High St, Wakefield, RI 02879
- Phone
- 401-789-1422
- Fax
- 401-782-6810
- Last updated
- May 22, 2018
Ian Madom is an Orthopaedic Surgery based in Wakefield, RI. Ian Madom practices in Wakefield, RI and has the professional credentials of MD. The NPI Number for Ian Madom is 1194942078 and holds a License No. 256162 (NY). The current practice location address for Ian Madom is 1 High St, Wakefield, RI 02879 and can be reached out via phone at 401-789-1422 and via fax at 401-782-6810.
Provider Profile Details
- NPI Number
- 1194942078
- Provider Name
- Ian Madom
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 High St, Wakefield, RI 02879
- Phone Number
- 401-789-1422
- Fax Number
- 401-782-6810
- Primary Taxonomy
- Orthopaedic Surgery · 207X00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 20, 2007
- Last Update Date
- May 22, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 High St
Wakefield, RI 02879 - City
- Wakefield
- State
- Rhode Island
- Zip
- 02879
- Phone Number
- 401-789-1422
- Fax Number
- 401-782-6810
Provider Business Mailing Address Details
- Address
- 1 High St
Wakefield, RI 02879-3103 - City
- Wakefield
- State
- RI
- Zip
- 02879-3103
- Phone Number
- 401-789-1422
- Fax Number
- 401-782-6810
License Information
- License Number (1)
- 256162
- License State (1)
- NY
- Taxonomy (1)
- Orthopaedic Surgery, Orthopaedic Surgery of the Spine · 207XS0117X
- License Number (2)
- 256162
- License State (2)
- NY
- Taxonomy (2)
- Orthopaedic Surgery, Orthopaedic Trauma · 207XX0801X
- License Number (3)
- MD12744
- License State (3)
- RI
- Taxonomy (3)
- Orthopaedic Surgery · 207X00000X · Primary
- License Number (4)
- LP00165
- License State (4)
- RI
- Taxonomy (4)
- Orthopaedic Surgery · 207X00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Orthopaedic Surgery providers near Wakefield, RI
View all Orthopaedic Surgery providers in Wakefield →- David B Burns, DOOrthopaedic Surgery · NPI 1306800313
- Mark A Coppes, MDOrthopaedic Surgery · NPI 1275597668
- Michael P Bradley, MDOrthopaedic Surgery · NPI 1083668883
- Orthopedics Rhode Island, INCOrthopaedic Surgery · NPI 1568913655
- Robert C Marchand, MDOrthopaedic Surgery · NPI 1881658896
- South County Orthopedics & Physical Therapy, INC.Orthopaedic Surgery · NPI 1518921816
Frequently Asked Questions
What is the NPI number of Ian Madom, MD?
The NPI number of Ian Madom, MD is 1194942078. It was assigned on April 20, 2007 and is currently active in the NPPES registry.
What is the specialty of Ian Madom, MD?
Ian Madom, MD is registered under the primary taxonomy Orthopaedic Surgery (code 207X00000X), licensed in NY under license number 256162.
Where does Ian Madom, MD practice?
The practice location is 1 High St, Wakefield, RI 02879. The office can be reached at 401-789-1422 (phone) or 401-782-6810 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194942078 directly on the NPPES registry website.