JOHN GABRIEL MAIJUB (NPI# 1467776013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467776013 |
| Entity Type | Individual |
| Full Name | JOHN GABRIEL MAIJUB |
| Practice Address |
609 22nd St Apt 1431 Huntington WV 25703-1657 |
| Mailing Address |
1200 W White River Blvd Rcs Provider Enrollment Muncie IN 47303-4988 |
| Practice Telephone | 3044821922 |
| Mailing Telephone | 7657515784 |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2019-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 01080143A | IN | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
01080143A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
609 22ND ST APT 1431 |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 25703-1657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590021 | Jasmine Maynard | Student in an Organized Health Care Education/Training Program | 1538 Charleston Ave, Huntington, WV 25703 | 2020-08-26 |
| 1073161022 | Art Phillips | Student in an Organized Health Care Education/Training Program | Kopp Building, 1 John Marshall Drive, Huntington, WV 25703 | 2019-09-03 |
| 1447612742 | Ruthie Cooper | Psychiatry & Neurology | 1115 20th St # 205, Huntington, WV 25703 | 2016-03-25 |
| 1194047548 | Peggy Jo Proudfoot Harman | Counselor | 320 18th St., Gullickson Hall Suite G01, Huntington, WV 25703 | 2010-02-25 |
| 1598837460 | Frederick H Sammons Dds Ltd | Dentist | 1040 20th St, Huntington, WV 25703 | 2006-11-15 |
| 1649368291 | Sportscare Medical Associates, Inc. | Neuromusculoskeletal Medicine, Sports Medicine | 320 Lynda Ct, Huntington, WV 25703 | 2006-10-10 |
| 1902906019 | Tri-state Allergy, Inc | Allergy & Immunology | 1001 20th Street, Huntington, WV 25703 | 2006-09-25 |
| 1568472512 | Jamie R Stoner | Nurse Practitioner | 2501 3rd Avenue, Huntington, WV 25703 | 2006-08-09 |
| 1790717940 | Jeffrey T Boggess | Psychologist | 1115 20th Street, Suite 205, Huntington, WV 25703 | 2006-07-07 |
| 1184699415 | Valley Health Systems Inc | Obstetrics & Gynecology | 2585 3rd Ave, Huntington, WV 25703 | 2006-02-21 |
| Find all providers in zip 25703 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700896131 | William Martin | Surgery | 325 Park Ave, Huntington, NY 11743-2779 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154961852 | Usa Vein Clinics of Morgantown Pllc | Surgery | 1010 Suncrest Towne Centre Drive, Morgantown, WV 26505-0000 | 2020-01-10 |
| 1740749928 | Foot and Ankle Clinic of The Virginias Inc | Surgery | 4141 Teays Valley Rd, Hurricane, WV 25526-9772 | 2019-03-18 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1538661848 | East Mountain Health Physicians, Inc. | Surgery | 1000 Tavern Rd Ste 200, Martinsburg, WV 25401-2853 | 2018-03-02 |
| 1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
| 1922230218 | Beckley Vascular Associates & Vein Care Institute,pllc | Surgery | 120 George Street, Beckley, WV 25801-2608 | 2009-08-20 |
| 1154581973 | Maryland Surgical Care PC | Surgery | 710 Somerset Blvd Ste 103, Charles Town, WV 25414-4998 | 2008-06-16 |
| 1790731503 | Wheeling Heart Institute Inc | Surgery | 1021 Mt Dechantal Road, Wheeling, WV 26003 | 2006-05-25 |
| 1568450245 | Vardhan Reddy | Surgery | 651 Colliers Way Ste 408, Weirton, WV 26062-5055 | 2005-10-07 |
| 1679567325 | Randall V Lester | Surgery | 510 Cherry St, Suite 206, Bldg A, Bluefield, WV 24701-3338 | 2005-09-08 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGTON |
| Zip Code | 25703 |
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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.