Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. David Audoen Maddock, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1871758185

Dr. David Audoen Maddock, MD is an Obstetrics/Gynecology in Providence, Rhode Island. Qualified in 2010, 16 years ago. Practices with Southern New England Healthcare for Women, LLC, a 26-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
16
Licensed in
RI
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

297 Promenade St
Providence, RI 02908
Phone: (401) 490-6464
Fax: (401) 490-6463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence MD13247 (RI)

Record details

NPI number1871758185
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 25, 2008
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021
Mailing address297 Promenade St, Providence, RI 02908-5720

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Southern New England Healthcare For Women, Llc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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