Austin John Maddy
Dermatology in Fort Atkinson, WI. Individual provider (NPI-1).
NPI number1578023362
StatusActive
Last updated in NPPESNov 9, 2026
Details
- NPI
- 1578023362
- Entity type
- Individual (NPI-1)
- Name
- Austin John Maddy
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2019
- Certification date
- Nov 9, 2026
- Last updated
- Nov 9, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DERMATOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 15759-320 | WI | Yes |
Practice location
611 Sherman Ave EFort Atkinson, WI 53538-1960
Phone 920-568-1000
Mailing address
Po Box 249Fort Atkinson, WI 53538-0249
Phone 920-568-1000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Dermatology Physician providers in Fort Atkinson, WI
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.