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

Kevin W Maddox, DO

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1598082398

Kevin W Maddox, DO is a Pathology in Ada, Oklahoma. Graduated from Lake Erie College of Osteopathic Medicine, Bradenton in 2009, 17 years ago. Practices with Mountain States Pathology PC, a 16-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
17
Trained at
Lake Erie College of Osteopathic Medicine, Bradenton
Licensed in
OK
In the registry since
2010
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1921 Stonecipher Blvd
Ada, OK 74820
Phone: (580) 421-4570
Fax: (614) 442-2430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 5590 (OK)

Record details

NPI number1598082398
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 3, 2010
Last updated in NPPESSeptember 14, 2016
Mailing addressPo Box 20452, Sopa/Apa Cred, Columbus, OH 43220-0452

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, BRADENTON
Graduated 2009 (17 years in practice)
Group practice Mountain States Pathology Pc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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