DR. JULIA MAYBERRY (NPI# 1912175027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912175027 |
| Entity Type | Individual |
| Full Name | DR. JULIA MAYBERRY |
| Other Name | DR. JULIA BULATOVA |
| Credential | MD |
| Practice Address |
100 E Lancaster Ave Ste 253 Wynnewood PA 19096-3432 |
| Practice Telephone | 6106428823 |
| Mailing Telephone | 6106428823 |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2013-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | MT187860 | PA | Allopathic & Osteopathic Physicians |
| Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
MD448684 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
100 E LANCASTER AVE STE 253 |
| City | WYNNEWOOD |
| State | PA |
| Zip Code | 19096-3432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831727866 | Jeffrey Glenn Johnston | Hospitalist | Lankenau Medical Center. 100 E Lancaster Ave, Wynnewood, PA 19096 | 2020-03-27 |
| 1326500331 | Maitri Pancholy | Student in an Organized Health Care Education/Training Program | Annenberg Center, G-10, 100 Lancaster Avenue, Wynnewood, PA 19096 | 2019-04-01 |
| 1306355987 | Karie Elizabeth Melton | Social Worker | 250 E Wynnewood Rd E12, Wynnewood, PA 19096 | 2017-09-26 |
| 1518320662 | Kaitlyn Kennard | Surgery | 100 Lancaster Ave Mob South Suite 422, Wynnewood, PA 19096 | 2016-04-05 |
| 1366814675 | Linda Elkins | Counselor | 543 Haverford Rd, Wynnewood, PA 19096 | 2015-10-26 |
| 1619347655 | Tessa Kovick | Registered Nurse | 100 E Lancaster Ave Ste 114, Wynnewood, PA 19096 | 2015-10-02 |
| 1922476415 | Amy Lenrow | Skilled Nursing Facility | 1510 Powder Mill Lane, Wynnewood, PA 19096 | 2015-09-14 |
| 1144602855 | Casey Dajao | Internal Medicine | 100 E Lancaster Ave Ste 140, Wynnewood, PA 19096 | 2015-06-18 |
| 1649666223 | Benjamin Larson | Internal Medicine | 100 E Lancaster Ave Ste B11, Wynnewood, PA 19096 | 2015-04-10 |
| 1760873285 | Kathleen Gilmartin | Nurse Practitioner | 100 East Lancaster Ave, Wynnewood, PA 19096 | 2015-02-06 |
| Find all providers in zip 19096 | ||||
| Taxonomy Code | 2086S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgery of the Hand |
| A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972020642 | Philadelphia Hand Surgeon Pllc | Surgery | 1068 W Baltimore Pike Ste 3415, Media, PA 19063-5104 | 2017-08-24 |
| 1013336155 | Thomas Mark Suszynski | Surgery | 3550 Terrace Street 675 Scaife Hall, Pittsburgh, PA 15261-7708 | 2014-04-15 |
| 1891970067 | Razaullah A. Khwaja, M.d. | Surgery | 880 W Baltimore Pike, 2nd Floor, West Grove, PA 19390-9116 | 2008-01-07 |
| 1225242738 | Hand Surgical & Rehabilitation Assoc., Inc. | Surgery | 1841 Huntingdon Pike, Huntingdon Valley, PA 19006-7712 | 2007-05-10 |
| 1750379624 | Julia A Spears | Surgery | 231 N Broad St, 3rd Floor, Philadelphia, PA 19107-1511 | 2005-10-13 |
| 1477995660 | Nathan Miller | Surgery | 1243 S Cedar Crest Blvd Ste 301, Allentown, PA 18103-6268 | 2013-07-29 |
| 1114228459 | Specialties of Plastic, Hand and Microsurgery PC | Surgery | 5750 Centre Ave, Suite 180, Pittsburgh, PA 15206-3721 | 2010-11-03 |
| 1750690590 | Allegheny Clinic | Surgery | 320 E North Ave Ste 401, Pittsburgh, PA 15212-4756 | 2010-09-28 |
| 1720244577 | Alexander David Anzarut | Surgery | 6001 Stonewood Drive, Icare of Dee Hand and Upper Extremity Center, Wexford, PA 15090 | 2008-07-31 |
| 1720278302 | Dana Lavanture | Surgery | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2007-07-30 |
| 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.