Mr. Jack Enoch Madsen Iv is a Atlanta, Georgia based male podiatrist with 12 years of experience in Podiatry. He completed his graduation in 2012. He is also affiliated with hospitals like Kaiser Foundation Hospital Fontana/ontario. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Jack Enoch Madsen Iv for Podiatry is POD001281 in Georgia. Mr. Jack Enoch Madsen Iv is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Mr. Jack Enoch Madsen Iv speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Experience:
12+ years
Medical School Attended:
Other
Graduation Year:
2012
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
5445 Meridian Mark Rd, Ste. 390, Atlanta, Georgia, 30342-4763
Phone:
404-237-3668
Fax:
404-237-9563
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
PAC ID:
1850607334
Enrollment ID:
I20190228001271
NPI Number:
1780943043
NPI Enumeration Date:
08 May, 2012
NPI Last Update On:
10 Feb, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Jack Enoch Madsen Iv are as mentioned below.
License Number
Specialization
State
Status
POD001281
Podiatry
Georgia
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Kaiser Foundation Hospital Fontana/ontario (050140)
Fontana, CA
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. Jack Enoch Madsen Iv is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Southern California Permanente Medical Group (6002729175)
7677
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
900 Circle 75 Pkwy Se, Ste. 900 Atlanta, Georgia
Zip:
30339-3035
Phone Number:
678-426-2171
Fax Number:
404-446-1957
Patients can reach Mr. Jack Enoch Madsen Iv at 5445 Meridian Mark Rd, Ste. 390, Atlanta, Georgia or can call to book an appointment on 404-237-3668. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.
Kushkaran Kaur, DPM Speciality: Podiatrist - Foot & Ankle Surgery Address: 5445 Meridian Mark Rd Ste 390, GA Phone: 404-237-3668 Fax: 404-237-9562
Dr. Frank Andrew Sinkoe, OPM DPM Speciality: Podiatrist Address: 1935 Cliff Valley Way Ne, 118, GA Phone: 404-329-5050 Fax: 404-329-5005
Margo Angela Jimenez, DPM 18+ yr exp.Speciality: Podiatrist - Foot & Ankle Surgery Address: 2295 Parklake Dr Ne Ste 150, GA Phone: 770-938-5974 Fax: 770-939-4450
Irving Howard Miller, DPM Speciality: Podiatrist Address: 5505 Peachtree Dunwoody Rd Ne, Suite 420, GA Phone: 404-843-0090 Fax: 404-843-1008
Wizely Clauther, DPM 13+ yr exp.Speciality: Podiatrist Address: 2950 Stone Hogan Connector Rd Sw, Building 3 Suite A, GA Phone: 404-349-5100 Fax: 404-349-3705