Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. John Mark Maddox, MD

Individual provider Surgery Physician · NPI 1104801208

Dr. John Mark Maddox, MD is a Surgery Physician in Tacoma, Washington. Licensed in California, Oregon and Washington. Registered with an NPI since 2005.

Licensed in
CA, OR, WA
In the registry since
2005
Specialties on file
5
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

1145 Broadway Ste 300
Tacoma, WA 98402-3523
Phone: (253) 403-1130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence MD60662688 (WA)
Surgery Physician Taxonomy 208600000X · Licence 133071 (CA)
Surgery Physician Taxonomy 208600000X · Licence MD24744 (OR)
Colon & Rectal Surgery Physician Taxonomy 208C00000X · Licence 133071 (CA)
Colon & Rectal Surgery Physician Taxonomy 208C00000X · Licence MD24744 (OR)

Record details

NPI number1104801208
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 12, 2005
Last updated in NPPESDecember 7, 2022
Certification dateDecember 7, 2022
Mailing address1145 Broadway Ste 300, Tacoma, WA 98402-3523

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