Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Madison E Roman, PA-C

Individual provider Surgical Physician Assistant · NPI 1144951245

Madison E Roman, PA-C is a Physician Assistant in Mesa, Arizona. Qualified in 2022, 4 years ago. Practices with Lima Memorial Professional Corporation, a 169-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10238 E Hampton Ave Ste 301C
Mesa, AZ 85209-3322
Phone: (480) 882-5730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1003 Bellefontaine Ave Ste 125, Lima, OH 45804-1867 — (419) 998-8207

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 11528 (AZ)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1144951245
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 20, 2022
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026
Mailing address10238 E Hampton Ave Ste 301c, Mesa, AZ 85209-3322

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lima Memorial Professional Corporation — 169 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Mesa