DR. JAMES P MAUCK JR. (NPI# 1467480996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467480996 |
| Entity Type | Individual |
| Full Name | DR. JAMES P MAUCK JR. |
| Credential | M.D. |
| Practice Address |
2405 W Lexington Ave Elkhart IN 46514-1417 |
| Practice Telephone | 5742958805 |
| Practice Fax Number | 5745220039 |
| Mailing Telephone | 5742958805 |
| Mailing Fax Number | 5745220039 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
01035682 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM BLUE CROSS | 000000082179 | 01 |
| IN | 100326890 | 05 | |
| IN | PHYSICIANS HEALTH PLAN | 15432 | 01 |
| Street Address |
2405 W LEXINGTON AVE |
| City | ELKHART |
| State | IN |
| Zip Code | 46514-1417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417956756 | Starla D Graber | Obstetrics & Gynecology | 2405 W Lexington Ave, Elkhart, IN 46514-1417 | 2005-07-19 |
| 1851743033 | Samantha Wilson | Nurse Practitioner | 2405 W Lexington Ave, Elkhart, IN 46514-1417 | 2016-07-12 |
| 1215387352 | River Oaks Ob/gyn Associates | Nurse Practitioner | 2405 W Lexington Ave, Elkhart, IN 46514-1417 | 2016-06-20 |
| 1487974507 | Cynthia Marie Weyers | Nurse Practitioner | 2405 W Lexington Ave, Elkhart, IN 46514-1417 | 2010-06-11 |
| 1639366602 | Kimberly Anne Davies | Nurse Practitioner | 2405 W Lexington Ave, Elkhart, IN 46514-1417 | 2007-10-03 |
| 1750578720 | Jean Ann Inbody | Nurse Practitioner | 2405 W Lexington Ave, Elkhart, IN 46514-1417 | 2007-10-03 |
| 1487774022 | Julie A Zehr | Nurse Practitioner | 2405 W Lexington Ave, Elkhart, IN 46514-1417 | 2007-03-29 |
| 1265512289 | River Oaks Ob/gyn Associates, P.C. | Obstetrics & Gynecology | 2405 W Lexington Ave, Elkhart, IN 46514-1417 | 2006-10-16 |
| 1467489112 | Stephen P Hollenberg | Obstetrics & Gynecology | 2405 W Lexington Ave, Elkhart, IN 46514-1417 | 2006-06-27 |
| 1285661439 | Rosalie L Mcbride | Obstetrics & Gynecology | 2405 W Lexington Ave, Elkhart, IN 46514-1417 | 2006-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
| 1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1487118220 | Hellenic Senior Living of Elkhart, LLC | Assisted Living Facility | 2528 Bypass Road, Elkhart, IN 46514 | 2019-01-25 |
| 1922595792 | Anna Cornelia Smith | Nutritionist | 51803 Tall Pines Dr, Elkhart, IN 46514 | 2018-04-17 |
| 1114438496 | Erika Lynn Farrell | Counselor | 3120 Suite B Windsor Court, Elkhart, IN 46514 | 2017-10-13 |
| 1740728948 | Michael Scheretie | Nurse Anesthetist, Certified Registered | 52866 Wildflower Ln, Elkhart, IN 46514 | 2017-02-08 |
| 1821355876 | Marcy Lynn Adams | Nurse Practitioner | 1104 W Bristol St, Elkhart, IN 46514 | 2012-04-16 |
| 1053694265 | Paul A. Price | Pharmacist | 1400 Cassopolis St., Elkhart, IN 46514 | 2011-09-23 |
| 1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
| Find all providers in zip 46514 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417956756 | Starla D Graber | Obstetrics & Gynecology | 2405 W Lexington Ave, Elkhart, IN 46514-1417 | 2005-07-19 |
| 1467489112 | Stephen P Hollenberg | Obstetrics & Gynecology | 2405 W Lexington Ave, Elkhart, IN 46514-1417 | 2006-06-27 |
| 1285661439 | Rosalie L Mcbride | Obstetrics & Gynecology | 2405 W Lexington Ave, Elkhart, IN 46514-1417 | 2006-06-26 |
| 1700813953 | Timothy E Morgan | Obstetrics & Gynecology | 2405 W Lexington Ave, Elkhart, IN 46514-1417 | 2006-06-26 |
| 1164466520 | Lorraine E Weaver | Obstetrics & Gynecology | 2405 W Lexington Ave, Elkhart, IN 46514-1417 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033443106 | Munster Medical Research Foundatio | Obstetrics & Gynecology | 3545 Arbors Street, Portage, IN 46368-4297 | 2009-09-23 |
| 1154468270 | Daniel H Davis | Obstetrics & Gynecology | 2450 Northpark, Suite A, Columbus, IN 47203 | 2007-01-30 |
| 1528174604 | Richard Lewis Hinchman | Obstetrics & Gynecology | 6756 Mcfarland Rd, Indianapolis, IN 46227-7718 | 2006-08-22 |
| 1154345775 | Cindy Maiden Basinski | Obstetrics & Gynecology | 4199 Gateway Blvd Ste 2200, Newburgh, IN 47630-8965 | 2006-07-27 |
| 1427094911 | Victoria L Potoczak | Obstetrics & Gynecology | 3618 S 4th St, Terre Haute, IN 47802-5543 | 2006-06-22 |
| 1376543926 | Patrick A Pontee | Obstetrics & Gynecology | 5500 Hohman Ave, Hammond, IN 46320-1965 | 2005-07-26 |
| 1528623824 | 219 Health Network Inc | Obstetrics & Gynecology | 3432 169th St, Hammond, IN 46323-2542 | 2019-05-02 |
| 1861937419 | Jennifer Irene Wakeland Bigelow Md | Obstetrics & Gynecology | 461 Town Center St N, Mooresville, IN 46158-2316 | 2017-01-05 |
| 1871974337 | Functional Medicine of Carmel Inc. | Obstetrics & Gynecology | 755 W Carmel Dr, Suite 212, Carmel, IN 46032-5877 | 2015-06-10 |
| 1639566490 | Olivia Higgins | Obstetrics & Gynecology | 550 University Blvd, Indianapolis, IN 46202-5149 | 2015-04-20 |
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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.