KURT A. MADDOCK MD – NPI #1740253707
Preventive Medicine

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

KURT MADDOCK is a physician located in MURPHYSBORO, IL. NPPES has assigned the NPI number 1740253707 to KURT MADDOCK on February 09, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2083P0011X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Undersea and Hyperbaric Medicine

The NPI profile was previously updated about 5 years ago on Aug 03, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KURT MADDOCK below.

NPI Profile for
KURT A. MADDOCK

NPI Number
1740253707
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KURT A. MADDOCK
Credentials
MD
Primary location
2 S HOSPITAL DR
MURPHYSBORO, IL 62966-3333
Phone: (618) 684-1035 Fax: (618) 684-1036
2 Other location(s):
315 S 13th St
Herrin, IL 62948-3661
Phone: (618) 988-6157
Fax: (618) 942-2210
520 S 7th St
Vincennes, IN 47591-1038
Phone: (812) 885-3627
Fax: (812) 885-3019
Mailing address
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone: (618) 457-5200 Fax:
Sole Proprietor
No
Updated
Certification Date
Aug 03, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KURT MADDOCK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERANTHEMIN000000599251
OTHERRAILROAD MEDICAREINP00658239
MEDICAIDIN100318820A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083P0011X
- Preventive Medicine / Undersea and Hyperbaric Medicine (Primary)
IL 036.144660
208600000X
- Surgery
IN 01038293A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
2 S HOSPITAL DR,
MURPHYSBORO, IL 77025-1669

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
315 S 13TH ST,
HERRIN, IL 77025-1669

Additional Information

Education
INDIANA UNIVERSITY SCHOOL OF MEDICINE - Graduated 1985
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KURT MADDOCK is affiliated with the following medical group(s):
  • HOSPITAL
    • HERRIN HOSPITAL
      201 S 14TH ST
      HERRIN, IL 62948
    • MEMORIAL HOSPITAL OF CARBONDALE
      405 W JACKSON
      CARBONDALE, IL 62901
    • ST JOSEPH MEMORIAL HOSPITAL
      2 SOUTH HOSPITAL DRIVE
      MURPHYSBORO, IL 62966

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.