AMANDA ELLEN MAUCH (NPI# 1194247296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194247296 |
| Entity Type | Individual |
| Full Name | AMANDA ELLEN MAUCH |
| Credential | LE |
| Practice Address |
1806 W Kettleman Ln Ste A Lodi CA 95242-4316 |
| Practice Telephone | 2093272055 |
| Mailing Telephone | 2093272055 |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2017-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | L9390 | CA | Other Service Providers |
| Street Address |
1806 W KETTLEMAN LN STE A |
| City | LODI |
| State | CA |
| Zip Code | 95242-4316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125807 | Victoria Galvez | Psychologist | 1103 Tudor St, Lodi, CA 95242 | 2018-05-21 |
| 1174931471 | Shuk Mei Chung | Physician Assistant | 2122 W Kettleman Ln, Lodi, CA 95242 | 2014-07-30 |
| 1275962169 | Sharon Elizabeth Palmer | Speech-Language Pathologist | 1200 W Tokay St, Lodi, CA 95242 | 2013-11-01 |
| 1114286093 | Brandee Lyn Smith | Speech-Language Pathologist | 1547 Lexington Dr, Lodi, CA 95242 | 2012-05-11 |
| 1255609509 | Jennifer Marie Wallmark | Speech-Language Pathologist | 8 S. Cambridge Dr., Lodi, CA 95242 | 2011-12-01 |
| 1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
| 1255541991 | Heather Baldauff | Occupational Therapist | 800 South Lower Sacramento Road, Lodi Memorial Hospital West, Lodi, CA 95242 | 2007-05-23 |
| 1730227182 | Clifford John Bradshaw | Dentist | 801 S Ham Lane, Suite D, Lodi, CA 95242 | 2007-02-01 |
| 1861541799 | Catherine Ann Gravish | Physical Therapist | 800 South Ham Lane, Lodi, CA 95242 | 2007-01-09 |
| 1497814511 | Stewart Chiropractic Corp | Chiropractor | 1420 W Kettleman Ln #k-1, Lodi, CA 95242 | 2006-12-06 |
| Find all providers in zip 95242 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942594965 | Billy Joe Spears | Specialist | 806 W Lodi Ave, Lodi, CA 95240-3302 | 2011-06-07 |
| 1336260868 | James Ds Kim, Md, Inc. | Specialist | 700 S Ham Ln, Lodi, CA 95242-3536 | 2007-04-02 |
| 1740305846 | Delta Radiology, Inc. | Specialist | 1031 S Fairmont Ave, Lodi, CA 95240-5112 | 2007-03-20 |
| 1629021779 | Roel P Galope | Specialist | 141 Washington St, Lodi, NJ 07644-3202 | 2006-05-18 |
| 1932564242 | John F. Kiraly IIi, Md | Specialist | 801 S Ham Ln, Suite S, Lodi, CA 95242-7501 | 2015-12-31 |
| 1316174238 | Rehabilitation Institute of North Jersey | Specialist | 1 S Main St, Suite 1, Lodi, NJ 07644-2240 | 2009-06-18 |
| 1619167301 | Charlotte J Gibbs | Specialist | 500 N Main St, Lodi, NJ 07644-2002 | 2007-07-28 |
| 1356548028 | Renuka Nandan | Specialist | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2007-06-27 |
| 1821204520 | Mary Larkins Woelfel | Specialist | 700 S Rose St, Lodi, CA 95240-3920 | 2007-05-16 |
| 1215059407 | Proper Care Physical Therapy Inc | Specialist | 4 Hunter St, Lodi, NJ 07644-1608 | 2007-04-06 |
| Find all providers in LODI | ||||
Please comment or provide details below to improve the information on AMANDA ELLEN MAUCH.
| 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.