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DR. CHARLES LAWRENCE MADDOW M.D. NPI 1891710471


NPI Information

NPI: 1891710471
Provider Name: DR. CHARLES LAWRENCE MADDOW, M.D.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
6431 FANNIN ST
EMERGENCY MEDICINE JJL 4TH FLOOR
HOUSTON, TX
ZIP 77030
Phone: (713) 500-7668
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DR. Charles Lawrence Maddow, M.D. is an emergency medicine in Houston, TX. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Charles Lawrence Maddow, M.D. NPI is 1891710471. 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:

6431 FANNIN ST
EMERGENCY MEDICINE JJL 4TH FLOOR
HOUSTON, TX
ZIP 77030-501
Phone: (713) 500-7668

The NPI 1891710471 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 7/13/2006 and was last updated on 6/15/2010.


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
1207P00000XEmergency Medicine220874NEW YORKNo
2207P00000XEmergency MedicineFTL 42805TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102165740MEDICAIDNEW YORK
2205110402OTHERTEXASCSHCN
3H44138MEDICARE UPIN
48V3107OTHERTEXASBLUE CROSS BLUE SHIELD
5205110401MEDICAIDTEXAS
6CC7363MEDICARE ID-TYPE UNSPECIFIEDNEW YORKEASS
78L18813MEDICARE PINTEXAS

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

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.