MS. MAGGIE LYNN FOUNTAIN (NPI# 1902326515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902326515 |
| Entity Type | Individual |
| Full Name | MS. MAGGIE LYNN FOUNTAIN |
| Credential | PA-C |
| Practice Address |
45 Reade Pl Poughkeepsie NY 12601 |
| Mailing Address |
864 Huntington Dr Fishkill NY 12524-4918 |
| Practice Telephone | 8454548500 |
| Enumeration Date | 2017-06-24 |
| Last Update Date | 2018-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
020938 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
45 READE PL |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366448185 | Vlad Frenk | Anesthesiology | 45 Reade Pl, Poughkeepsie, NY 12601 | 2005-06-27 |
| 1427664184 | Alley Nicole O'farrell | Physician Assistant | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-09-18 |
| 1215556279 | Katherine Paola Acosta | Student in an Organized Health Care Education/Training Program | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-04-10 |
| 1891314852 | Nahal G Nikroo | Student in an Organized Health Care Education/Training Program | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-04-10 |
| 1275162463 | Andrew John Kehrer | Student in an Organized Health Care Education/Training Program | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-04-08 |
| 1831728237 | Jennifer Lackaye | Registered Nurse | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-04-07 |
| 1427687995 | Jeffrey David Crawford | Student in an Organized Health Care Education/Training Program | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-04-06 |
| 1598394231 | Joseph Jose Kuruvilla | Student in an Organized Health Care Education/Training Program | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-04-04 |
| 1285263061 | Laryssa Do Ouro-rodrigues | Student in an Organized Health Care Education/Training Program | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-04-03 |
| 1770112807 | Jude Igboanusi | Student in an Organized Health Care Education/Training Program | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348425 | Hudson Valley Radiologists, PC | Radiology | 57 Kingwood Park, Poughkeepsie, NY 12601 | 2020-05-21 |
| 1063049088 | Jaquellah Taylor | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12601 | 2020-03-27 |
| 1053957050 | Jasmine Syin-lan Miller | Student in an Organized Health Care Education/Training Program | 3399 North Road, Marist College Msc 12617, Poughkeepsie, NY 12601 | 2019-11-25 |
| 1144864224 | Kim Beverly | Technician | 16 Tamidan Road, Poughkeepsle, NY 12601 | 2019-11-01 |
| 1851852768 | Marwa H Abdalla | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center, 45 Reade Place, Poughkeepsie, NY 12601 | 2019-03-26 |
| 1619459047 | Victoria Bozydaj | Occupational Therapy Assistant | 50 Rinaldi Boulevard Apt 7r, Poughkeepsie, NY 12601 | 2018-09-01 |
| 1821589953 | Avo Gregory Serafino | Physician Assistant | 228 Donnelly, Poughkeepsie, NY 12601 | 2018-05-24 |
| 1649771486 | Raewyn Kalisha Clayton | Registered Nurse | 31 Forbus Street Apt C2, Poughkeepsie, NY 12601 | 2018-02-27 |
| 1780108761 | Ronica Dorothy White | Licensed Practical Nurse | 7c Muldowney Circle, Poughkeepsie, NY 12601 | 2017-08-01 |
| 1336662048 | Ashley Elizabeth Travers | Licensed Practical Nurse | 100 Innis Ave, Poughkeepsie, NY 12601 | 2017-07-25 |
| Find all providers in zip 12601 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664184 | Alley Nicole O'farrell | Physician Assistant | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2020-09-18 |
| 1821640392 | Daniel Higgins | Physician Assistant | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2019-07-15 |
| 1235791138 | Amanda Mae Frankie | Physician Assistant | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2019-07-01 |
| 1780245282 | Catherine Gruszecki | Physician Assistant | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2019-06-25 |
| 1356907836 | Olivia Pelletier | Physician Assistant | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2019-05-10 |
| 1891249686 | Janelle Wilkerson | Physician Assistant | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2016-08-09 |
| 1346612744 | Amanda Pazian | Physician Assistant | 1 Columbia St, Poughkeepsie, NY 12601-3923 | 2015-10-24 |
| 1326448754 | Jack Tuchman | Physician Assistant | 241 North Rd, Physician Assistant Services, Poughkeepsie, NY 12601-1154 | 2014-09-04 |
| 1568708451 | Elyse Bischof | Physician Assistant | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2012-12-20 |
| 1093829954 | Jonathan Londin | Physician Assistant | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2006-08-18 |
| Find all providers in POUGHKEEPSIE | ||||
| City | POUGHKEEPSIE |
| Zip Code | 12601 |
Please comment or provide details below to improve the information on MS. MAGGIE LYNN FOUNTAIN.
| 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.