CRYSCILLA MAYNARD (NPI# 1528467271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528467271 |
| Entity Type | Individual |
| Full Name | CRYSCILLA MAYNARD |
| Credential | PA-C |
| Practice Address |
8423 Market St Ste 205 Boardman OH 44512-6778 |
| Practice Telephone | 3307291933 |
| Practice Fax Number | 3307291861 |
| Mailing Telephone | 3307291934 |
| Mailing Fax Number | 3307291861 |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2017-01-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 50004041 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0119669 | 05 |
| Street Address |
8423 MARKET ST STE 205 |
| City | BOARDMAN |
| State | OH |
| Zip Code | 44512-6778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104820059 | Thomas Donald Macabobby | Family Medicine | 8423 Market St, Ste 101, Boardman, OH 44512-6778 | 2005-06-09 |
| 1851822266 | Harinder Preet Kaur | Family Medicine | 8423 Market St, Suite 101, Boardman, OH 44512-6778 | 2017-03-27 |
| 1659722171 | Mercy Health Physicians | General Practice | 8423 Market St, Boardman, OH 44512-6778 | 2016-06-27 |
| 1124476841 | Christina Brooke Walker | Emergency Medicine | 8423 Market St, Boardman, OH 44512-6778 | 2016-06-03 |
| 1609207398 | Leah Elizabeth O'brien | Registered Nurse | 8423 Market St, Ste 101, Boardman, OH 44512-6778 | 2013-12-05 |
| 1548606940 | Cary Jordan | Psychologist | 8423 Market St, Ste 101, Boardman, OH 44512-6778 | 2013-05-13 |
| 1447596564 | Kassandra Sue Kornbau | Nurse Practitioner | 8423 Market St, Ste 101, Boardman, OH 44512-6778 | 2012-12-18 |
| 1053664052 | Franchessca Lucia Catalano | Physician Assistant | 8423 Market St, Ste 101, Boardman, OH 44512-6778 | 2012-10-16 |
| 1245562685 | Sumira Adhikari Koirala | Family Medicine | 8423 Market St, Ste 101, Boardman, OH 44512-6778 | 2010-02-10 |
| 1831348911 | Melissa Marie Haire | Physician Assistant | 8423 Market St, Ste 101, Boardman, OH 44512-6778 | 2008-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174685929 | Cindy A Lanterman | Physician Assistant | 8401 Market St Ste 200, Boardman, OH 44512 | 2006-12-15 |
| 1235753815 | Nyle Gunter | Physician Assistant | 450 Tatone St, Boardman, OR 97818-8076 | 2020-05-30 |
| 1841847563 | Dominic John Deangelo | Physician Assistant | 250 Debartolo Pl, Boardman, OH 44512-7004 | 2019-08-19 |
| 1568928570 | Abbie Lynn Neff | Physician Assistant | 8401 Market St, Boardman, OH 44512-6725 | 2019-02-14 |
| 1730668138 | Natalie Elizabeth Nickles | Physician Assistant | 8401 Market St, Boardman, OH 44512-6725 | 2018-08-07 |
| 1134635790 | Austin Ivins Higginson | Physician Assistant | 450 Tatone St, Boardman, OR 97818-8076 | 2017-12-19 |
| 1891207486 | Alysia Marie Mcdonald | Physician Assistant | 450 Tatone St, Boardman, OR 97818-8076 | 2017-11-03 |
| 1659764108 | Laurie Anne Quattro | Physician Assistant | 987 Boardman Canfield Rd, Boardman, OH 44512-4222 | 2015-03-09 |
| 1639561822 | Sara Jessica Zatchok | Physician Assistant | 835 Mckay Ct Ste 100, Boardman, OH 44512-5786 | 2015-02-24 |
| 1245637321 | Casey Dickey | Physician Assistant | 1039 Boardman Canfield Rd, Boardman, OH 44512-4228 | 2014-12-04 |
| Find all providers in BOARDMAN | ||||
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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.