Healthcare Provider Details

I. General information

NPI: 1386973402
Provider Name (Legal Business Name): ABIGAIL ROSE MADANS D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ABIGAIL ROSE SCHENKEL DO

II. Dates (important events)

Enumeration Date: 12/19/2009
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10201 DOUBLE R BLVD STE 315
RENO NV
89521-6091
US

IV. Provider business mailing address

1155 MILL ST # M-14
RENO NV
89502-1576
US

V. Phone/Fax

Practice location:
  • Phone: 775-982-3443
  • Fax: 775-982-3441
Mailing address:
  • Phone: 775-982-3443
  • Fax: 775-982-3441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number62152
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number62152
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberDO4177
License Number StateNV
# 4
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberDO4177
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: