MRS. MEGAN MAYNARD (NPI# 1164762936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164762936 |
| Entity Type | Individual |
| Full Name | MRS. MEGAN MAYNARD |
| Credential | PA-C |
| Practice Address |
709 S Harbor City Blvd Ste 100 Melbourne FL 32901-1936 |
| Practice Telephone | 3217252225 |
| Practice Fax Number | 3213080635 |
| Mailing Telephone | 3217252225 |
| Mailing Fax Number | 3213080635 |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2013-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 9107017 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556093 | Megan Maynard | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312 | 2020-10-23 |
| 1871093211 | Megan Demeo Maynard | Chiropractor | Motus Integrative Health, PC, 1425 Eagle Ridge Dr., Schererville, IN 46375 | 2018-02-12 |
| 1184945511 | Megan C Maynard | Counselor | 110 Maple St, Springfield, MA 01105-1864 | 2010-06-21 |
| Street Address |
709 S HARBOR CITY BLVD STE 100 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-1936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952375776 | Joseph L Perry | Physician Assistant | 709 S Harbor City Blvd Ste 100, Melbourne, FL 32901-1936 | 2006-02-16 |
| 1669070884 | Jenivieve Janet Prezas | Physical Therapist | 709 S Harbor City Blvd Ste 100, Melbourne, FL 32901-1936 | 2020-10-09 |
| 1295366946 | Charna Davis | Nurse Practitioner | 709 S Harbor City Blvd Ste 100, Melbourne, FL 32901-1936 | 2020-01-31 |
| 1396229167 | Chelsea Engelhardt | Physical Therapist | 709 S Harbor City Blvd Ste 100, Melbourne, FL 32901-1936 | 2018-09-18 |
| 1992283766 | Juan Daniel Maldonado Jr. | Physical Therapist | 709 S Harbor City Blvd Ste 100, Melbourne, FL 32901-1936 | 2018-08-02 |
| 1649783747 | Lindsey Brooke Rose | Occupational Therapist | 709 S Harbor City Blvd Ste 100, Melbourne, FL 32901-1936 | 2017-11-10 |
| 1790213379 | Whitney Marie Mathews | Physical Therapist | 709 S Harbor City Blvd Ste 100, Melbourne, FL 32901-1936 | 2017-05-26 |
| 1912456096 | Christopher Virgin | Occupational Therapist | 709 S Harbor City Blvd Ste 100, Melbourne, FL 32901-1936 | 2016-09-29 |
| 1356707327 | Vanessa Tobon | Occupational Therapist | 709 S Harbor City Blvd Ste 100, Melbourne, FL 32901-1936 | 2016-01-06 |
| 1629449673 | Brandon Van Kempen | Physical Therapist | 709 S Harbor City Blvd Ste 100, Melbourne, FL 32901-1936 | 2015-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093263873 | Kaitlin Lassen | Physician Assistant | 8057 Spyglass Hill Rd Ste 104, Melbourne, FL 32940-8565 | 2016-09-21 |
| 1386815835 | Jessica L Boudreaux-milligan | Physician Assistant | 2290 W Eau Gallie Blvd Ste 210b, Melbourne, FL 32935 | 2008-03-12 |
| 1013106376 | Sabrina Wu Staples | Physician Assistant | 3337 Hoofprint Dr, Melbourne, FL 32940-2304 | 2007-10-23 |
| 1528032547 | David A Harris | Physician Assistant | 1341 Medical Park Dr Ste 201, Melbourne, FL 32901 | 2006-02-15 |
| 1023094414 | Patrick Gene Campbell | Physician Assistant | 1494 Avocado Ave, Melbourne, FL 32935-6532 | 2005-12-19 |
| 1184618233 | George David Mccullough | Physician Assistant | 1051 S Hickory St, Ste A, Melbourne, FL 32901-1962 | 2005-09-06 |
| 1255877981 | Michael Paul Teepe | Physician Assistant | 1341 Medical Park Dr Ste 201, Melbourne, FL 32901-3235 | 2017-01-19 |
| 1336597137 | Barbara Suzanne Coleman | Physician Assistant | 1341 Medical Park Dr Ste 201, Melbourne, FL 32901-3235 | 2016-06-02 |
| 1144687534 | Alexis Best | Physician Assistant | 1223 Gateway Dr Ste 1e, Melbourne, FL 32901-2607 | 2016-01-15 |
| 1346662103 | Casey W Langel | Physician Assistant | 2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5594 | 2014-01-14 |
| Find all providers in MELBOURNE | ||||
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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.