MACY MARIE BRADBURY (NPI# 1003431073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003431073 |
| Entity Type | Individual |
| Full Name | MACY MARIE BRADBURY |
| Practice Address |
217 N Bryan St Hicksville OH 43526-1005 |
| Practice Telephone | 2605793189 |
| Mailing Telephone | 2605793189 |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
217 N BRYAN ST |
| City | HICKSVILLE |
| State | OH |
| Zip Code | 43526-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447534177 | Desare R Wilhelm | Massage Therapist | 104 E. High St., Hicksville, OH 43526 | 2011-09-29 |
| 1326133380 | Michael Stewart Boggs | Dentist | 106 North Bryan Street, Hicksville, OH 43526 | 2006-10-04 |
| 1831201417 | Julie K Barth | Audiologist | 119 N. Main St, Hicksville, OH 43526 | 2006-08-31 |
| 1730145392 | Community Memorial Hospital | Clinic/Center | 208 Columbus Street, Hicksville, OH 43526 | 2006-04-24 |
| 1376845370 | Cory T Hammond | Physician Assistant | 208 Columbus St, Hicksville, OH 43526 | 2010-11-23 |
| 1356580294 | Vasavi K Reddy | Family Medicine | 208 Columbus Street, Hicksville, OH 43526 | 2009-02-17 |
| 1417978776 | Matthew C Grothaus | Orthopaedic Surgery | 208 Columbus St, Hicksville, OH 43526 | 2006-07-22 |
| 1730165242 | Fort Wayne Cardiology Corporation | Internal Medicine | 208 Columbus St, Hicksville, OH 43526 | 2005-12-16 |
| 1326685728 | Chelsea Kelly Dds LLC | Dentist | 106 N Bryan St, Hicksville, OH 43526-1004 | 2019-12-04 |
| 1386650141 | Ryan David Bagley | Chiropractor | 102 Old Mill Rd, Hicksville, OH 43526-1083 | 2006-08-01 |
| Find all providers in zip 43526 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033758560 | Victoria Zhou | Physician Assistant | 2 Angle Ln, Hicksville, NY 11801-4410 | 2020-01-01 |
| 1225676398 | Kirupajini Gnanamurthy | Physician Assistant | 14 Cornwall Ln, Hicksville, NY 11801-3740 | 2019-12-19 |
| 1851938781 | Puneet K Gill | Physician Assistant | 51 Cedar St, Hicksville, NY 11801-3207 | 2019-12-10 |
| 1831730399 | Aney D Patel | Physician Assistant | 25 Woodcrest Rd, Hicksville, NY 11801-6027 | 2019-10-04 |
| 1841756863 | Lauren Drankwalter | Physician Assistant | 202 Dartmouth Dr, Hicksville, NY 11801-3423 | 2019-02-14 |
| 1568960078 | Nicholas Edward Broughton | Physician Assistant | 99 Woodbury Rd, Hicksville, NY 11801-3043 | 2018-01-30 |
| 1841656113 | Quratul Lodhi | Physician Assistant | 5 N Fordham Rd, Hicksville, NY 11801-6006 | 2016-01-02 |
| 1013385186 | Muhaimina Khalfan | Physician Assistant | 12 Loretta Ln, Hicksville, NY 11801-3716 | 2015-09-08 |
| 1821499468 | Cameron Suh | Physician Assistant | 20 Winter Ln, Hicksville, NY 11801-6220 | 2014-09-15 |
| 1083606784 | Dylan O'rourke | Physician Assistant | 81 N Broadway, Hicksville, NY 11801-2920 | 2005-08-18 |
| Find all providers in HICKSVILLE | ||||
| City | HICKSVILLE |
| Zip Code | 43526 |
Please comment or provide details below to improve the information on MACY MARIE BRADBURY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.