LOVELL MAYLE (NPI# 1073624649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073624649 |
| Entity Type | Individual |
| Full Name | LOVELL MAYLE |
| Credential | MD |
| Practice Address |
600 E Dixie Ave Leesburg FL 34748-5925 |
| Mailing Address |
Po Box 917756 Orlando FL 32891-7756 |
| Practice Telephone | 3528678898 |
| Practice Fax Number | 3527326282 |
| Mailing Telephone | 3528678898 |
| Mailing Fax Number | 3527326282 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
ME59012 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 11640 | 01 |
| FL | 271321700 | 05 |
| Street Address |
600 E DIXIE AVE |
| City | LEESBURG |
| State | FL |
| Zip Code | 34748-5925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061660 | Gregory Wayne Betton | Emergency Medicine | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2005-05-23 |
| 1053941385 | Robert Bernard | Physician Assistant | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2020-01-26 |
| 1033685847 | Scott D. Doll | Nurse Practitioner | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2018-10-18 |
| 1265915573 | Samuella Ferrari | Nurse Anesthetist, Certified Registered | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2018-09-12 |
| 1740761485 | Tamicha Anderson Gooden | Registered Nurse | 600 E Dixie Ave, Leesburg, FL 34748 | 2018-08-21 |
| 1396267753 | Matthew Meyer | Registered Nurse | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2017-07-07 |
| 1215301171 | Anemone Emergency Physicians, LLC | Physician Assistant | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2015-11-16 |
| 1730592411 | Eva H Berry | Nurse Anesthetist, Certified Registered | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2014-06-10 |
| 1902226459 | Christine Reames | Pharmacy Technician | 600 E Dixie Ave, Room 1046, Leesburg, FL 34748-5925 | 2014-04-23 |
| 1407281306 | Jessica G Ortiz-colon | Nurse Anesthetist, Certified Registered | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2013-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437610243 | Ashley Shamsa Martin | Behavior Technician | 292 Bent Oak Ct, Leesburg, FL 34748 | 2019-03-26 |
| 1891278875 | Luis O Aponte Mendoza | Physician Assistant | 704 Doctors Ct., Suite 101, Leesburg, FL 34748 | 2018-09-14 |
| 1881197903 | Physician Associates LLC | Internal Medicine | 22316 Us Highway 27, Leesburg, FL 34748 | 2018-03-15 |
| 1184136145 | Infinite Support Services LLC | In Home Supportive Care | 129 Grove Ridge Circle, 104, Leesburg, FL 34748 | 2017-10-31 |
| 1619403037 | Massage and Wellness Care | Health Maintenance Organization | 1218 W. Dixie Ave, Suite A, Leesburg, FL 34748 | 2017-05-04 |
| 1497202675 | Prime Radiology of Leesburg Inc | Radiology | 600 N W Blvd, Suite E, Leesburg, FL 34748 | 2016-09-06 |
| 1023480332 | Juanita Elizabeth Simpson | Contractor | 1911 Harcourt Drive, Leesburg, FL 34748 | 2015-10-26 |
| 1467835900 | Serenity Choice Place, LLC | Community/Behavioral Health | 721 Balmoral Circle, Leesburg, FL 34748 | 2015-07-01 |
| 1356738397 | Touching Heart's Group Homes, LLC | Community/Behavioral Health | 31809 Sunpark Cir, Leesburg, FL 34748 | 2015-04-16 |
| 1386035269 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1103 N 14th Street, Leesburg, FL 34748 | 2015-02-12 |
| Find all providers in zip 34748 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285893065 | Scott M Stengel Md Pa | Anesthesiology | 1112 W Dixie Ave, Leesburg, FL 34748-6312 | 2008-06-05 |
| 1891870655 | Scott M Stengel | Anesthesiology | 1112 West Dixie Avenue, Leesburg, FL 34748 | 2006-10-27 |
| 1437252798 | Leilani Seltzer | Anesthesiology | 600 E. Dixie Avenue, Leesburg, GA 34748 | 2006-09-05 |
| 1568410900 | Rohini Sastry | Anesthesiology | 1414 East Main Street, Suite 3, Leesburg, FL 34748 | 2006-05-05 |
| 1063506350 | Paul Yu | Anesthesiology | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2006-10-03 |
| 1619074515 | Rohini Sastry Md Pa | Anesthesiology | 801 E Dixie Ave, Suite 107, Leesburg, FL 34748-7699 | 2006-09-20 |
| 1215039896 | Scott Shapiro | Anesthesiology | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2006-09-02 |
| 1437260908 | Suresh Nadella | Anesthesiology | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2006-08-31 |
| 1497866974 | William Moore | Anesthesiology | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2006-08-31 |
| 1932210044 | Ming-jyi Tsao | Anesthesiology | 600 E Dixie Ave, Leesburg, FL 34748-5925 | 2006-08-31 |
| Find all providers in LEESBURG | ||||
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| 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.