DIANE HERMANIE MAINWOLD (NPI# 1659365401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659365401 |
| Entity Type | Individual |
| Full Name | DIANE HERMANIE MAINWOLD |
| Credential | D.O. |
| Practice Address |
1318 S Pine St Melbourne FL 32901-3117 |
| Mailing Address |
114 Island View Dr Indian Harbour Beach FL 32937-4346 |
| Practice Telephone | 3219529500 |
| Practice Fax Number | 3219522299 |
| Mailing Telephone | 3217775442 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2014-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
OS6956 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 070207200 | 05 |
| Street Address |
1318 S PINE ST |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-3117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942294418 | Wesley Mcdaniel Foster | Obstetrics & Gynecology | 1318 S Pine St, Melbourne, FL 32901-3117 | 2005-09-09 |
| 1235123092 | Foster Women's Care | Obstetrics & Gynecology | 1318 S Pine St, Melbourne, FL 32901-3117 | 2005-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073729240 | Ralph Zipper Md Pa | Obstetrics & Gynecology | 200 S Harbor City Blvd Ste 401, Melbourne, FL 32901-1389 | 2007-05-15 |
| 1578606869 | Osler Medical Inc | Obstetrics & Gynecology | 1208 S Harbor City Blvd, Melbourne, FL 32901-3207 | 2007-02-15 |
| 1548278245 | James L Raders | Obstetrics & Gynecology | 1421 Malabar Rd Ne Ste 245, Melbourne, FL 32907-2586 | 2006-08-04 |
| 1568436277 | Esther Rose Clayton | Obstetrics & Gynecology | 410 N Wickham Rd Ste 201, Melbourne, FL 32935-8648 | 2006-02-17 |
| 1588648687 | Carlos Mario Oliveira | Obstetrics & Gynecology | 1223 Gateway Dr Ste 1d, Melbourne, FL 32901 | 2005-12-01 |
| 1023012820 | Victor Manuel Alvarez | Obstetrics & Gynecology | 2200 W Eau Gallie Blvd, Ste 202-a, Melbourne, FL 32935-3165 | 2005-06-09 |
| 1225537731 | Benezra Gynecology | Obstetrics & Gynecology | 129 W Hibiscus Blvd, Ste A, Melbourne, FL 32901 | 2018-02-09 |
| 1780812586 | Aimee Lynn Tieu | Obstetrics & Gynecology | 8725 N Wickham Rd, Suite 302, Melbourne, FL 32940-2239 | 2009-06-30 |
| 1235123092 | Foster Women's Care | Obstetrics & Gynecology | 1318 S Pine St, Melbourne, FL 32901-3117 | 2005-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910240 | Jeffrey M Greenberg Md Medical Services Inc | Obstetrics & Gynecology | 13324 Pond Apple Dr W, Naples, FL 34119-8556 | 2020-10-20 |
| 1497365464 | Hamel Foundation Inc | Obstetrics & Gynecology | 7777 N University Dr Ste 206, Tamarac, FL 33321-6106 | 2020-08-05 |
| 1336786466 | Manfred Emil Trostel | Obstetrics & Gynecology | 2425 Gulf of Mexico Dr Unit 8d, Longboat Key, FL 34228-3213 | 2019-12-09 |
| 1790335164 | Customized Wellness, LLC | Obstetrics & Gynecology | 131 W Center Avenue, Sebring, FL 33870 | 2019-09-17 |
| 1649737552 | Joe Walker Bancroft Jr. | Obstetrics & Gynecology | 4618 Long Bow Rd. South, Jacksonville, FL 32210-8144 | 2019-02-27 |
| 1649748666 | Kristin M Jackson LLC | Obstetrics & Gynecology | 260 Lookout Pl Ste 201, Maitland, FL 32751-4485 | 2018-11-07 |
| 1710476239 | Yvette Pereyra Ans | Obstetrics & Gynecology | 3990 Sheridan St Ste 214, Hollywood, FL 33021-3656 | 2018-05-10 |
| 1194223800 | Vandyke Md Ob/gyn Pa | Obstetrics & Gynecology | 9161 Narcoossee Rd Ste B209, Orlando, FL 32827-5764 | 2018-01-28 |
| 1538676515 | Adam Ostrzenski | Obstetrics & Gynecology | 7001 Central Ave Ste 3, St Petersburg, FL 33710-7549 | 2017-12-29 |
| 1144735945 | Judith Watson Bradfield | Obstetrics & Gynecology | 8024 Links Way, Port St Lucie, FL 34986-3035 | 2017-12-04 |
| Find all providers with the same taxonomy | ||||
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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.