MEDICARE: MR. DEMILLE W MADOUX 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	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	15810	OK
2	207P00000X	Emergency Medicine Physician	15810	OK
3	207Q00000X	Family Medicine Physician	15810	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215994868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DEMILLE W MADOUX M.D.

Provider Business Mailing Address
First Line	:	23990 N MACARTHUR BLVD
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73025-9455
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8105 NW EXPRESSWAY
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73162-6004
Country	:	US
Telephone Number	:	405-602-3500
Fax Number	:

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

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	05/02/2017

Similar Medicare Providers

1811959166 — ANDREW MARK HOELSCHER M.D.
Practice Location Address:

8105 NW EXPRESSWAY
OKLAHOMA CITY, OK
73162-6004

Practice Phone: 405-602-3500
Practice Fax: 405-602-3550

1679708762 — AEROCARE HOME MEDICAL EQUIPMENT, INC.
Practice Location Address:

8121 NW EXPRESSWAY
OKLAHOMA CITY, OK
73162-6004

Practice Phone: 405-943-2200
Practice Fax: 405-943-2208

1841569217 — EXPRESSWAY CLINIC, LLC
Practice Location Address:

8105 NW EXPRESSWAY
OKLAHOMA CITY, OK
73162-6004

Practice Phone: 405-602-3500
Practice Fax: 405-602-3550

1174892533 — FASTER CARE, LLC
Practice Location Address:

8105 NW EXPRESSWAY
OKLAHOMA CITY, OK
73162-6004

Practice Phone: 405-602-3500
Practice Fax: 405-602-3550

1700201035 — TAMI LAWSON APRN
Practice Location Address:

8105 NW EXPRESSWAY
OKLAHOMA CITY, OK
73162-6004

Practice Phone: 405-602-3500
Practice Fax: 405-602-3550

1841603115 — COLLETTE TEMPLETON
Practice Location Address:

6004 YALE DR
OKLAHOMA CITY, OK
73162-7529

Practice Phone: 405-532-6445
Practice Fax:

Directions to “ MR. DEMILLE W MADOUX 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.