MR. GEORGE WAYNE MADER RPA NPI 1518062793

NPI Information

NPI: 1518062793
Provider Name: MR. GEORGE WAYNE MADER, RPA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
1 AUDUBON PLAZA DR
LOUISVILLE, KY
ZIP 40217
Phone: (502) 636-7311
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MR. George Wayne Mader, RPA is a surgical physician assistant in Louisville, KY. MR. George Wayne Mader, RPA NPI is 1518062793. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 AUDUBON PLAZA DR
LOUISVILLE, KY
ZIP 40217-318
Phone: (502) 636-7311

The enumeration date for this NPI number is 9/13/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	08 KY 1003	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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