Organization
NOVAMED SURGERY CENTER OF MADISON, LIMITED PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
1200 JOHN Q HAMMONS DR, SUITE 102, MADISON, WI 53717-1959
(608) 827-5504
(608) 827-6107
Mailing address
1200 JOHN Q HAMMONS DR, SUITE 102, MADISON, WI 53717-1959
(608) 827-5504
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41913700
—
WI
01
—
P00190508
RR MEDICARE
—
Enumeration date
07/05/2005
Last updated
02/15/2023
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