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MR. JASON MENNO MADDELA SURGICAL ASSISTANT
NPI 1144666363
Physician Assistant - Surgical in Woodridge, IL

Active since May 14, 2013
2538 RAVINIA LN, WOODRIDGE, IL 60517(708) 205-7678 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jason Menno Maddela Surgical Assistant NPPES

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

MR. JASON MENNO MADDELA SURGICAL ASSISTANT (NPI 1144666363) is an individual surgical provider in Woodridge, Illinois and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1144666363
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. JASON MENNO MADDELACredential: SURGICAL ASSISTANT
Location Address2538 RAVINIA LNWoodridge, IL 60517-2218
Mailing Address2538 Ravinia LnWoodridge, IL 60517-2218 · (708) 205-7678
Phone(708) 205-7678
Sole ProprietorNo
Enumeration DateMay 14, 2013
Last NPPES UpdateApril 13, 2022
NPPES CertifiedApril 13, 2022
✔ NPI 1144666363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedSpecialist/Technologist, Other · Surgical TechnologistTaxonomy 246ZS0410X
2538 RAVINIA LN, Woodridge, IL 60517
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MJ SURGASSISTS LLC
Physician Assistant (Surgical)
2538 RAVINIA LN
WOODRIDGE, IL 60517
Dupage County (708) 205-7678

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 Jason Maddela's NPI number?

The NPI number for Jason Maddela is 1144666363. It was assigned to this individual provider in the NPPES registry on May 14, 2013.

Where is Jason Maddela located?

Jason Maddela practices at 2538 Ravinia Ln, Woodridge, IL 60517. The listed phone number is (708) 205-7678.

What is Jason Maddela's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Jason Maddela was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.