National Provider Identifier
Katie L Madden, PA-C
Katie L Madden, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Jamestown, NY and a listed phone number of (716) 338-0022.
Profile Overview
- NPI
- 1114369089
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 22, 2013
- Last Updated
- October 13, 2014
Practice Location
- 320 Prather Ave
- Suite 100, 200, & 400
- Jamestown, NY 14701-6820
Phone: (716) 338-0022
Mailing Address
- 95 E Chautauqua St
- Mayville, NY 14757-1017
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1114369089
- Entity Type
- Individual
- Last Name
- Madden
- First Name
- Katie
- Middle Name
- L
- Credential
- PA-C
- Provider Other Last Name
- Ingerson
- Provider Other First Name
- Katie
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 95 E Chautauqua St
- Mailing City
- Mayville
- Mailing State
- NY
- Mailing ZIP Code
- 14757-1017
- Mailing Country
- US
- Mailing Phone
- (716) 753-7107
- Mailing Fax
- (716) 753-5367
- Practice Street Address
- 320 Prather Ave
- Practice Address Line 2
- Suite 100, 200, & 400
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-6820
- Practice Country
- US
- Practice Phone
- (716) 338-0022
- Practice Fax
- (716) 338-1567
- Enumeration Date
- July 22, 2013
- Last Updated
- October 13, 2014
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)