Provider Demographics
NPI:1093415713
Name:HUGHES, MADISON SUE (CPO, MPO, BSBME)
Entity Type:Individual
Prefix:
First Name:MADISON
Middle Name:SUE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:CPO, MPO, BSBME
Other - Prefix:
Other - First Name:MADISON
Other - Middle Name:SUE
Other - Last Name:CHRISMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPO, MPO, BSBME
Mailing Address - Street 1:1851 N 115TH PLZ APT 3106
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-4633
Mailing Address - Country:US
Mailing Address - Phone:641-891-7520
Mailing Address - Fax:
Practice Address - Street 1:8111 DODGE ST STE 330
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-4119
Practice Address - Country:US
Practice Address - Phone:402-384-8727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist