OLIVIA MAE MAXAM (NPI# 1568941532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568941532 |
| Entity Type | Individual |
| Full Name | OLIVIA MAE MAXAM |
| Credential | FNP-BC |
| Practice Address |
3767 Main Street Warrensburg NY 12885-1890 |
| Mailing Address |
9 Carey Rd Queensbury NY 12804-7880 |
| Practice Telephone | 5186232844 |
| Practice Fax Number | 5186233416 |
| Mailing Telephone | 5187610300 |
| Mailing Fax Number | 5188242388 |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2020-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F343009 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2215 Burdett Ave, Troy, NY 121802466 | 5182713300 | |
| 315 S Manning Blvd, Albany, NY 122081707 | 5185251550 | |
| 600 Northern Blvd, Albany, NY 122041004 | 5184713221 |
| Street Address |
3767 MAIN STREET |
| City | WARRENSBURG |
| State | NY |
| Zip Code | 12885-1890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033112743 | James F Morrissey | Internal Medicine | 3767 Main Street, Warrensburg, NY 12885-1890 | 2005-05-27 |
| 1235476532 | Rosemary T Vassallo | Social Worker | 3767 Main Street, Warrensburg, NY 12885-1890 | 2013-01-08 |
| 1114296100 | Holly S Spire | Social Worker | 3767 Main Street, Warrensburg, NY 12885-1890 | 2011-12-20 |
| 1356584072 | Julie Lynn Fisher | Social Worker | 3767 Main Street, Warrensburg, NY 12885-1890 | 2009-04-10 |
| 1316196462 | James F Hindson | Internal Medicine | 3767 Main Street, Warrensburg, NY 12885-1890 | 2008-09-13 |
| 1801061288 | Glen Anderson | Physician Assistant | 3767 Main Street, Warrensburg, NY 12885-1890 | 2008-04-25 |
| 1447390976 | Lisa M Woolfe | Social Worker | 3767 Main Street, Warrensburg, NY 12885-1890 | 2007-02-07 |
| 1134118821 | Michael Randolph Bell | Family Medicine | 3767 Main Street, Warrensburg, NY 12885-1890 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477636462 | Raluca Sandler | Dentist | 3814 Main Street, Warrensburg, NY 12885 | 2006-10-23 |
| 1326144072 | Warrensburg Emergency Medical Services Inc | Ambulance | 3 King St, Warrensburg, NY 12885 | 2006-09-16 |
| 1396118642 | Tia Dawson | Social Worker | 1 James St, Warrensburg, NY 12885 | 2015-11-09 |
| 1912281502 | Rita L Navatka | Social Worker | 3767 Main St, Warrensburg, NY 12885 | 2011-09-30 |
| 1902099450 | Jeanine R Lawler | Specialist | 28 Lake Ave, Warrensburg, NY 12885-1028 | 2007-08-18 |
| 1790098747 | Joann Elizabeth Donohue | Registered Nurse | 11 Ashe Dr, Warrensburg, NY 12885-1032 | 2010-07-20 |
| 1598190688 | Suzanne Sheree Walpole | Pharmacist | 3971 Main St, Warrensburg, NY 12885-1152 | 2013-09-07 |
| 1760412225 | Wendy Ann Maciariello | Physical Therapist | 28 Hudson St, Warrensburg, NY 12885-1204 | 2006-07-03 |
| 1942607197 | Tara Brown | Physical Therapist | 28 Hudson St, Warrensburg, NY 12885-1204 | 2014-12-03 |
| 1427481845 | Erica Ovitt Mahoney | Physical Therapist | 28 Hudson St, Warrensburg, NY 12885-1204 | 2013-08-21 |
| Find all providers in zip 12885 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033650213 | Sayward Oltman | Nurse Practitioner | 1594 Roanoke Dr, Warrensburg, MO 64093-8914 | 2017-03-20 |
| 1629281647 | Karen Caldwell | Nurse Practitioner | 612 Clark St, Warrensburg, MO 64093 | 2007-05-07 |
| 1346390697 | Paula K Keil | Nurse Practitioner | 427 Burkarth Rd, Warrensburg, MO 64093-3101 | 2007-01-11 |
| 1447816855 | Kenyon Michelle Hagen | Nurse Practitioner | 513 Burkarth Rd, Warrensburg, MO 64093 | 2019-05-13 |
| 1538651047 | Jessica Love | Nurse Practitioner | 108 W South St, Warrensburg, MO 64093-2324 | 2018-05-31 |
| 1063934925 | Jennifer Cates | Nurse Practitioner | 403 Burkarth Rd, Warrensburg, MO 64093-3101 | 2017-07-12 |
| 1134660665 | Kasey Heiman | Nurse Practitioner | 514 Burkarth Rd, Warrensburg, MO 64093-3104 | 2017-03-16 |
| 1326596560 | Jill Cobb | Nurse Practitioner | 427 Burkarth Rd, Warrensburg, MO 64093-3101 | 2016-09-16 |
| 1679986749 | Terri Ann Meyer | Nurse Practitioner | 403 Burkarth Rd, Warrensburg, MO 64093-3101 | 2014-06-06 |
| 1205246907 | Nicole Bevans | Nurse Practitioner | 702 E Young Ave, Warrensburg, MO 64093-9610 | 2014-05-02 |
| Find all providers in WARRENSBURG | ||||
| City | WARRENSBURG |
| Zip Code | 12885 |
Please comment or provide details below to improve the information on OLIVIA MAE MAXAM.
| 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.