MRS. MARY THERESA MADDOX
NPI 1003152455
Licensed Practical Nurse in Euclid, OH

Q: What is Mary Maddox's NPI number?

The NPI number for Mary Maddox is 1003152455. It was assigned to this individual provider in the NPPES registry on December 12, 2012.

Q: What is Mary Maddox's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Maddox was last updated on December 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 12, 2012

24740 DEVOE AVE, EUCLID, OH 44123(216) 322-1577 Get Directions Write a Review

NPPES record last updated: December 12, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Mary Theresa Maddox NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY THERESA MADDOX (NPI 1003152455) is an individual licensed practical nurse in Euclid, Ohio, licensed in Ohio (PN-149664-M-IV) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1003152455

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMRS. MARY THERESA MADDOX

Location Address24740 DEVOE AVEEuclid, OH 44123-2238

Mailing Address24740 Devoe AveEuclid, OH 44123-2238 · (216) 322-1577

Phone(216) 322-1577

Sole ProprietorYes

Enumeration DateDecember 12, 2012

✔ NPI 1003152455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in OH · PN-149664-M-IV

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

24740 DEVOE AVE, Euclid, OH 44123

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Maddox's NPI number?

The NPI number for Mary Maddox is 1003152455. It was assigned to this individual provider in the NPPES registry on December 12, 2012.

Where is Mary Maddox located?

Mary Maddox practices at 24740 Devoe Ave, Euclid, OH 44123. The listed phone number is (216) 322-1577.

What is Mary Maddox's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Mary Maddox was last updated on December 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.