DR. JOHN MARK MADDOX M.D.
NPI 1104801208
Colon & Rectal Surgery in Tacoma, WA

Q: What is John Maddox's NPI number?

The NPI number for John Maddox is 1104801208. It was assigned to this individual provider in the NPPES registry on December 12, 2005.

Q: What is John Maddox's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Q: When was this NPI record last updated?

The NPPES record for John Maddox was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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, 2005

1145 BROADWAY STE 300, TACOMA, WA 98402(253) 403-1130 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. John Mark Maddox M.d. NPPES

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

DR. JOHN MARK MADDOX M.D. (NPI 1104801208) is an individual colon & rectal surgery provider in Tacoma, Washington, licensed in Washington (MD60662688) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1104801208

Entity TypeIndividualMale

Primary Taxonomy208C00000X

Provider Legal NameDR. JOHN MARK MADDOXCredential: M.D.

Location Address1145 BROADWAY STE 300Tacoma, WA 98402-3523

Mailing Address1145 Broadway Ste 300Tacoma, WA 98402-3523

Phone(253) 403-1130

Sole ProprietorNo

Enumeration DateDecember 12, 2005

Last NPPES UpdateDecember 7, 2022

NPPES CertifiedDecember 7, 2022

✔ NPI 1104801208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208C00000X

Licenses✔ Licensed in WA · MD60662688✔ Licensed in CA · 133071✔ Licensed in OR · MD24744

Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Also ListedSurgeryTaxonomy 208600000X · License 133071 (CA), MD24744 (OR)

1145 BROADWAY STE 300, Tacoma, WA 98402

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Other Identifiers 1

Medicaid297589OR

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 John Maddox's NPI number?

The NPI number for John Maddox is 1104801208. It was assigned to this individual provider in the NPPES registry on December 12, 2005.

Where is John Maddox located?

John Maddox practices at 1145 Broadway Ste 300, Tacoma, WA 98402. The listed phone number is (253) 403-1130.

What is John Maddox's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

When was this NPI record last updated?

The NPPES record for John Maddox was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.