Provider Demographics
NPI:1982491072
Name:TARKINGTON, MADELYNN (PA-C)
Entity type:Individual
Prefix:
First Name:MADELYNN
Middle Name:
Last Name:TARKINGTON
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:MADELYNN
Other - Middle Name:
Other - Last Name:DEICHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4125 WATERSWATCH DR
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-3763
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4125 WATERSWATCH DR
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-3763
Practice Address - Country:US
Practice Address - Phone:804-971-2109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant