MATTHEW JAMES MAYNARD (NPI# 1407305659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407305659 |
| Entity Type | Individual |
| Full Name | MATTHEW JAMES MAYNARD |
| Credential | PA-C |
| Practice Address |
812 Gorman Ave Elkins WV 26241-3181 |
| Practice Telephone | 3046373533 |
| Mailing Telephone | 3046373533 |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2017-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2022 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
2783 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861617417 | Matthew Tam Maynard | Obstetrics & Gynecology | 20044 Cedar Rd N Ste A, Sonora, CA 95370-5900 | 2007-04-16 |
| 1497805337 | Matthew James Maynard | Dentist | 3325 Smokey Point Dr Ste 101, Arlington, WA 98223-7803 | 2007-01-11 |
| 1366978199 | Matthew James Maynard | Emergency Medicine | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2017-05-11 |
| 1235532011 | Matthew Maynard | Marriage & Family Therapist | 3 Sylvan Rd S, Westport, CT 06880-4639 | 2014-10-07 |
| 1972886216 | Matthew Christopher Maynard | Occupational Therapist | 850 E Butler Rd, Greenville, SC 29607-5842 | 2011-09-22 |
| 1790079499 | Matthew Dean Maynard | Emergency Medicine | 830 Washington St, Watertown, NY 13601-4034 | 2011-05-31 |
| Street Address |
812 GORMAN AVE |
| City | ELKINS |
| State | WV |
| Zip Code | 26241-3181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396737029 | Steven R Toney | Family Medicine | 812 Gorman Ave, Elkins, WV 26241-3181 | 2005-08-18 |
| 1740802974 | Kyle Joseph Manthei | Nurse Anesthetist, Certified Registered | 812 Gorman Ave, Elkins, WV 26241-3181 | 2020-05-11 |
| 1518591320 | Silvia Boyero Triplett | Nurse Practitioner | 812 Gorman Ave, Elkins, WV 26241-3181 | 2020-03-02 |
| 1326671132 | Cassie Mcfarlan | Technician, Other | 812 Gorman Ave, Elkins, WV 26241-3181 | 2020-02-20 |
| 1407489214 | Ashley Wilfong | Licensed Practical Nurse | 812 Gorman Ave, Elkins, WV 26241-3181 | 2020-02-20 |
| 1568095370 | Leslie Hyre | Licensed Practical Nurse | 812 Gorman Ave, Elkins, WV 26241-3181 | 2020-02-20 |
| 1821621715 | Tiffany Auvil | Licensed Practical Nurse | 812 Gorman Ave, Elkins, WV 26241 | 2020-02-19 |
| 1336709815 | Brenda Gail Peacock | Social Worker | 812 Gorman Ave, Elkins, WV 26241-3181 | 2019-06-18 |
| 1477019461 | Melissa D Kisner | Nurse Practitioner | 812 Gorman Ave, Elkins, WV 26241-3181 | 2019-02-14 |
| 1770048043 | Davis Memorial Hospital | Psychiatric Unit | 812 Gorman Ave, Elkins, WV 26241-3181 | 2019-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507625 | Cindy Phillips | Technician | 2068 Files Creek Road, Elkins, WV 26241 | 2020-10-30 |
| 1316544224 | Brittany Underwood | Technician | 27 Midway Loop Rd., Elkins, WV 26241 | 2020-10-04 |
| 1740895820 | Brandie Elaine Lambert | Technician | 1 Fifth Street, Elkins, WV 26241 | 2020-09-15 |
| 1174134118 | Sherri Lynn Stahl | Technician | 36 Midland Street, Elkins, WV 26241 | 2020-08-13 |
| 1447861489 | Gwyn Esther Reynolds | Technician | 2685 Wesley Chapel Rd, Dunmore, WV 26241 | 2020-08-13 |
| 1578173092 | Stephen Foy | Technician | 216 Davis Street, Elkins, WV 26241 | 2020-08-10 |
| 1497364913 | Renee Taylor | Technician | Lot 12 Valley View Mhp, Elkins, WV 26241 | 2020-07-30 |
| 1811506959 | Roxanna E Cooper | Case Manager/Care Coordinator | #1 Fifth Street, Elkins, WV 26241 | 2020-07-24 |
| 1194379479 | Kevin Robert Lambert | Optometrist | 205 Chenoweth Creek Rd, Elkins, WV 26241 | 2019-07-25 |
| 1003318841 | Anna Foster | Nurse Practitioner | 911 Gorman Ave. #201, Elkins, WV 26241 | 2018-03-07 |
| Find all providers in zip 26241 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487673372 | Suzanne Lee Brown | Physician Assistant | 501 Railroad Ave, Elkins, WV 26241 | 2006-07-19 |
| 1023565546 | Chad Alan Ford | Physician Assistant | 1502 Harrison Ave, Elkins, WV 26241-3497 | 2016-09-01 |
| 1215309851 | Ashlee O'kernick | Physician Assistant | 1513 Harrison Ave Ste 18, Elkins, WV 26241-3356 | 2015-10-22 |
| 1285801571 | Lori L Betler | Physician Assistant | 100 Seneca Rd, Tygart Valley Ent Associates, Elkins, WV 26241-9709 | 2008-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386270908 | Bonnie Lynn Blackburn | Physician Assistant | 10 Amalia Dr Ste C5, Buckhannon, WV 26201-2270 | 2020-03-15 |
| 1922638824 | Sara B Johnson | Physician Assistant | 1000 Mon Health Medical Park Dr Ste 1100, Morgantown, WV 26505-1143 | 2020-01-19 |
| 1659835072 | Kristen Nicole Williams | Physician Assistant | 26 Portsmouth Ct N, Falling Waters, WV 25419-1430 | 2019-01-30 |
| 1629588876 | Robert Theodore Hartman | Physician Assistant | 620 National Rd Ste 300, Wheeling, WV 26003-6560 | 2017-10-02 |
| 1366967986 | Terri Leanne Belcher | Physician Assistant | 395 Emily Dr, Clarksburg, WV 26301-5505 | 2017-08-04 |
| 1760937056 | Ryan Aston | Physician Assistant | 58 16th St Fl 4, Wheeling, WV 26003-3660 | 2016-08-17 |
| 1821470113 | Lesley E. Weiss | Physician Assistant | 3200 Maccorkle Seave, Charleston, WV 25304-1227 | 2015-06-23 |
| 1891197323 | Rachelle Lyle Stewart | Physician Assistant | 1500 Terrace St Ste 105, Hinton, WV 25951-9768 | 2014-09-16 |
| 1285043224 | Sarah Gutman Brammer | Physician Assistant | 30 Medical Park Ste 211, Wheeling, WV 26003-6391 | 2014-08-04 |
| 1841603529 | Timothy Douglas | Physician Assistant | 4202 Mccorkle Ave Sw Ste 200, South Charleston, WV 25309-1513 | 2014-06-10 |
| Find all providers with the same taxonomy | ||||
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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.