DR. KURT DALEN MAAS (NPI# 1336121912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336121912 |
| Entity Type | Individual |
| Full Name | DR. KURT DALEN MAAS |
| Credential | MD |
| Practice Address |
609 Main Rd Dallas PA 18612-9001 |
| Practice Telephone | 5706758730 |
| Practice Fax Number | 5706757771 |
| Mailing Telephone | 5706758730 |
| Mailing Fax Number | 5706757771 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
MD029909E | PA | Allopathic & Osteopathic Physicians |
| X | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
MD029909E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0009592120007 | 05 |
| Street Address |
609 MAIN RD |
| City | DALLAS |
| State | PA |
| Zip Code | 18612-9001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487009882 | Jacqueline Patricia O'brien | Occupational Therapist | 345 Lake Louise Rd, Dallas, PA 18612 | 2016-05-04 |
| 1164772927 | Katie M Ferguson | Pharmacist | 26 Dallas Shopping Center Memorial Highway, Dallas, PA 18612 | 2012-09-19 |
| 1619235892 | Crista Zern | Physical Therapist | 4 East Center Hill Road, Dallas, PA 18612 | 2012-04-25 |
| 1336423631 | Angela Mary Evans | Nurse Practitioner | 301 Lake Street, Misericordia University's Health & Wellness Center, Dallas, PA 18612 | 2011-10-05 |
| 1376835868 | Peter Frederick Casterline | Surgery | 5 Old Well Lane, Dallas, PA 18612 | 2011-05-03 |
| 1336386051 | Judy A Williams | Speech-Language Pathologist | 368 Tioga Avenue, Kingston, PA 18612 | 2009-01-16 |
| 1013195015 | Joseph John Kowalski | Psychiatry & Neurology | 2 Birch Hill Lane, Dallas, PA 18612 | 2008-02-01 |
| 1063621233 | Back Mountain Pediatrics | Clinical Medical Laboratory | 550 Memorial Highway, Dallas, PA 18612 | 2007-05-22 |
| 1760699177 | Leonard M Evans | Internal Medicine | 1806 Country Club Apartments, Dallas, PA 18612 | 2007-05-16 |
| 1417170549 | Clem-mar House, Inc. | Substance Abuse Rehabilitation Facility | 2860 State Route 309, Dallas, PA 18612 | 2007-04-10 |
| Find all providers in zip 18612 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316427420 | Angela Dee Killeen-hirschhorn | Family Medicine | 11909 Preston Rd Ste 286, Dallas, TX 75230-6140 | 2018-08-17 |
| 1457712937 | Martin Kaplan | Family Medicine | 4655 Christopher Pl, Dallas, TX 75204-1610 | 2016-03-11 |
| 1205177417 | Larry Wayne Gibbons | Family Medicine | 12330 Preston Road, Dallas, TX 75230 | 2013-03-13 |
| 1689847014 | Kenneth R Dority Do Pa | Family Medicine | 8414 Flower Meadow Dr, Dallas, TX 75243-7424 | 2008-04-07 |
| 1346435062 | Claire C Leggatt | Family Medicine | 5411 W Mockingbird Ln, Dallas, TX 75209-5607 | 2007-09-06 |
| 1447476874 | Nicolas Alfonso Padron | Family Medicine | 1000 Emerald Isle Dr, Dallas, TX 75218-3952 | 2007-04-17 |
| 1669594834 | Virginia Porras | Family Medicine | 2701 S Hampton Rd Ste 101, Dallas, TX 75224-2363 | 2007-04-06 |
| 1760528251 | James Bruce Wright | Family Medicine | 8585 N Stemmons Fwy, Suite 720, Dallas, TX 75247-3836 | 2007-01-30 |
| 1093897316 | Jennifer Ruth Kessmann | Family Medicine | 12240 Inwood Rd Ste 500, Dallas, TX 75244-8007 | 2006-10-19 |
| 1720172265 | Stefanie Joy Mccann | Family Medicine | 18800 Preston Road, Suite 314, Dallas, TX 75252 | 2006-10-02 |
| Find all providers in DALLAS | ||||
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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.