MS. PAULA RENEE MIKSA (NPI# 1548209463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548209463 |
| Entity Type | Individual |
| Full Name | MS. PAULA RENEE MIKSA |
| Other Name | PAULA RENEE DEMARO |
| Credential | PA-C |
| Practice Address |
598 John Deere Drive Maynardville TN 37807 |
| Mailing Address |
101 W 27th St Lumberton NC 28358-3014 |
| Practice Telephone | 8659926060 |
| Mailing Telephone | 9107390770 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2014-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA2079 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 0010-05096 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 1271 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
003964 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 617410018A | 05 | |
| GA | CHAMPUS | 229393905 | 01 |
| TN | 150877 | 05 | |
| AL | 009936047 | 05 |
| Street Address |
598 JOHN DEERE DRIVE |
| City | MAYNARDVILLE |
| State | TN |
| Zip Code | 37807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053350363 | Thomas J Demaro | Emergency Medicine | 598 John Deere Drive, Maynardville, TN 37807 | 2006-06-05 |
| 1669623898 | Stallion Medical Group P.C. | Family Medicine | 598 John Deere Drive, Maynardville, TN 37807 | 2008-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368815 | Ian Carter Mccormick | Pharmacist | 2710 Maynardville Highway, Maynardville, TN 37807 | 2020-08-25 |
| 1053963975 | Maynardville Drug LLC | Pharmacy | 2975 Maynardville Hwy, Maynardville, TN 37807 | 2019-07-11 |
| 1811014533 | Leah Renee Lewis | Specialist/Technologist | 108 Harmon Drive, Maynardville, TN 37807 | 2007-03-26 |
| 1659497394 | Mohammad Bhidya Md PC | Nurse Practitioner | 2595 Maynardville Hwy, Maynardville, TN 37807 | 2007-03-22 |
| 1881117521 | Kristy Michille Bolt | Registered Nurse | 4330 Maynardville Hwy, Maynardville, TN 37807 | 2017-07-25 |
| 1275986333 | Ashley Nicole Russell | Counselor | 4330 Maynardville Hwy, Maynardville, TN 37807 | 2016-07-13 |
| 1134504764 | East Tennessee Physical Therapy,llc | Clinic/Center | 4357 Maynardville Hwy, Maynardville, TN 37807 | 2015-07-24 |
| 1962843409 | Mary Elizabeth Phillips | Social Worker | 4330 Maynardville Hwy, Maynardville, TN 37807 | 2013-07-12 |
| 1447500731 | Julie M Roberts | Pharmacist | 4344 Maynardville Hwy, Maynardville, TN 37807 | 2012-09-13 |
| 1821202029 | Carla Lynn Katz | Case Manager/Care Coordinator | 4330 Maynardville Hwy, Maynardville, TN 37807 | 2007-05-09 |
| Find all providers in zip 37807 | ||||
| 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 |
|---|---|---|---|---|
| 1821392937 | Union Family Medicine | Physician Assistant | 598 John Deere Dr, Maynardville, TN 37807-3212 | 2011-01-04 |
| 1306252598 | Kenneth Nicley | Physician Assistant | 149 Durham Dr, Maynardville, TN 37807-2925 | 2014-07-08 |
| 1770872087 | Holly Apodaca | Physician Assistant | 598 John Deere Dr, Maynardville, TN 37807-3212 | 2011-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737354 | Adrienne Smith | Physician Assistant | 5200 Park Ave Ste 100, Memphis, TN 38119-3505 | 2020-10-12 |
| 1417555459 | Kaitlyn Jones | Physician Assistant | 1229 Reserve Blvd Ste 200, Spring Hill, TN 37174-3274 | 2020-10-12 |
| 1861099491 | Caraline Berlynn Mcdowell | Physician Assistant | 284 Clearlake Dr W, Nashville, TN 37217-4547 | 2020-10-06 |
| 1508463365 | Logan Curran Martin | Physician Assistant | 5431 Edmondson Pike # 10, Nashville, TN 37211-5806 | 2020-10-05 |
| 1487261798 | Charity Grace Coppedge | Physician Assistant | 105 Twin Oaks Dr, Nashville, TN 37211-2765 | 2020-09-30 |
| 1316554884 | Brianna Bingham | Physician Assistant | 619 Blizzard Mines Rd, Harriman, TN 37748-3852 | 2020-09-28 |
| 1871100586 | Emily Philpott | Physician Assistant | 905 20th Ave S Apt 1306, Nashville, TN 37203-2672 | 2020-09-27 |
| 1063028876 | Emma Landers | Physician Assistant | 1534 Douglas Ave, Nashville, TN 37206-2309 | 2020-09-17 |
| 1730795527 | Melanie Rees | Physician Assistant | 111 33rd Ave S Apt 102, Nashville, TN 37212-3241 | 2020-09-17 |
| 1265048268 | Olivia Meers | Physician Assistant | 1080 Cedarview Ln, Franklin, TN 37067-4068 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
| City | MAYNARDVILLE |
| Zip Code | 37807 |
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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.