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DR. DAVID AUDOEN MADDOCK M.D. NPI 1871758185


NPI Information

NPI: 1871758185
Provider Name: DR. DAVID AUDOEN MADDOCK, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Organization: SOUTHERN NEW ENGLAND HEALTHCARE FOR WOMEN, LLC

PECOS Registration: Yes

Address:
297 PROMENADE ST
PROVIDENCE, RI
ZIP 02908
Phone: (401) 490-6464
Get Directions

DR. David Audoen Maddock, M.D. is an obstetrics gynecology in Providence, RI with 14 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. David Audoen Maddock, M.D. NPI is 1871758185. 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:

297 PROMENADE ST
PROVIDENCE, RI
ZIP 02908
Phone: (401) 490-6464
Fax: (401) 490-6463

The NPI 1871758185 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/25/2008 and was last updated on 3/31/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyMD13247RHODE ISLANDYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.