MEDICARE: DR. OLIVIA PENN MADAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician	60988	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1659549608	OTHER	TN	PRACTICE NPI

General Provider Information

NPI Number	:	1861805921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OLIVIA PENN MADAN M.D.

Provider Business Mailing Address
First Line	:	905 S HAWTHORNE RD
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103-4416
Country	:	US
Telephone Number	:	864-650-6228
Fax Number	:

Provider Business Practice Location Address
First Line	:	1914 CHARLOTTE AVE STE 101
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2231
Country	:	US
Telephone Number	:	615-327-0303
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2014
Last Update Date	:	02/16/2021

Similar Medicare Providers

1124301593 — MICHAEL JON KAYE HIS
Practice Location Address:

1914 CHARLOTTE AVE STE 103
NASHVILLE, TN
37203-2231

Practice Phone: 615-321-3393
Practice Fax:

1437818820 — SEEMA PATEL
Practice Location Address:

210 25TH AVE N STE 700A
NASHVILLE, TN
37203-1606

Practice Phone: 615-403-0317
Practice Fax:

1841808342 — NASHVILLE ADDICTION CLINIC
Practice Location Address:

3200 W END AVE STE 500
NASHVILLE, TN
37203-1322

Practice Phone: 615-927-7802
Practice Fax: 615-258-7881

1316145253 — DR. JONATHAN ASIF ABBAS MD
Practice Location Address:

322 22ND AVE N STE 200
NASHVILLE, TN
37203-1836

Practice Phone: 615-986-7600
Practice Fax: 615-986-7601

1780571307 — ALYSSA BREANNE WOODIN
Practice Location Address:

322 22ND AVE N STE 400
NASHVILLE, TN
37203-1870

Practice Phone: 615-320-5030
Practice Fax: 615-320-1225

1750528642 — VON P DOUANGDARA CRNA
Practice Location Address:

110 29TH AVE N STE 202
NASHVILLE, TN
37203-1448

Practice Phone: 615-327-4304
Practice Fax:

Directions to “ DR. OLIVIA PENN MADAN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.