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JOSE L MADARA JR M D PA
NPI 1649275736
Surgery in Booneville, MS

Active since June 16, 2005
102 HOTEL ST, BOONEVILLE, MS 38829(662) 728-7711(662) 728-7713 Get Directions Write a Review

NPPES record last updated: August 14, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jose L Madara Jr M D Pa NPPES

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

JOSE L MADARA JR M D PA (NPI 1649275736) is a healthcare organization registered as a surgery in Booneville, Mississippi and active in the NPI registry since June 2005. The organization lists Jose Las Llagas Madara, President, as its authorized official.

NPPES Registry Identity

NPI1649275736
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameJOSE L MADARA JR M D PA
Location Address102 HOTEL STBooneville, MS 38829-3303
Mailing Address102 Hotel StBooneville, MS 38829-3303 · (662) 728-7711 · Fax (662) 728-7713
Phone(662) 728-7711
Fax(662) 728-7713
Organization SubpartNo
Authorized OfficialJose Las Llagas MadaraPresident · (662) 728-7711
Enumeration DateJune 16, 2005
Last NPPES UpdateAugust 14, 2007
✔ NPI 1649275736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MS · 7928
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
102 HOTEL ST, Booneville, MS 38829
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Other Identifiers 2

Medicare UPINB64960MS
Medicaid00016361MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

JOSE L MADARA JR.
Surgery
102 HOTEL ST
BOONEVILLE, MS 38829
Prentiss County (662) 728-7711

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 Jose L Madara Jr M D PA's NPI number?

The NPI number for Jose L Madara Jr M D PA is 1649275736. It was assigned to this organization in the NPPES registry on June 16, 2005.

Where is Jose L Madara Jr M D PA located?

Jose L Madara Jr M D PA is located at 102 Hotel St, Booneville, MS 38829. The listed phone number is (662) 728-7711.

What is Jose L Madara Jr M D PA's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Jose L Madara Jr M D PA was last updated on August 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.