Adrienne J Maynard (NPI# 1063559094, PAC ID# 0446311443) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1063559094 |
| PAC ID by PECOS | 0446311443 |
| Professional Enrollment ID | I20081209000785 |
| Full Name | Adrienne J Maynard |
| Organization Legal Name | VIDA FAMILY MEDICINE LLC |
| Address |
374 Owens St Se Suite 100 Salem OR 97302-4183 |
| Phone Number | 5033991400 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5496770547 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 374 Owens St Se, Suite 100, Salem, OR 97302-4183 | 5033991400 | VIDA FAMILY MEDICINE LLC |
| Organization Legal Name | VIDA FAMILY MEDICINE LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher A Kleronomos | Nurse Practitioner | Vida Family Medicine LLC | 374 Owens St Se, Suite 100, Salem, OR 97302-4183 |
| Ann Gould | Physician Assistant | Vida Family Medicine LLC | 374 Owens St Se, Suite 100, Salem, OR 97302-4183 |
| Jennifer P Foster | Physician Assistant | Vida Family Medicine LLC | 374 Owens St Se, Suite 100, Salem, OR 97302-4183 |
| Evelin R Dacker | Family Medicine | Vida Family Medicine LLC | 374 Owens St Se, Suite 100, Salem, OR 97302-4183 |
| Andrea Harrell Chiavarini | Obstetrics/gynecology | Vida Family Medicine LLC | 374 Owens St Se, Suite 100, Salem, OR 97302-4183 |
| Patricia Ann Lawrence | Nurse Practitioner | Vida Family Medicine LLC | 374 Owens St Se, Suite 100, Salem, OR 97302-4183 |
| Jennifer S Behnke | Nurse Practitioner | Vida Family Medicine LLC | 374 Owens St Se, Suite 100, Salem, OR 97302-4183 |
| Street Address |
374 OWENS ST SE SUITE 100 |
| City | SALEM |
| State | OR |
| Zip | 97302-4183 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher A Kleronomos | Nurse Practitioner | Vida Family Medicine LLC | 374 Owens St Se, Suite 100, Salem, OR 97302-4183 |
| Ann Gould | Physician Assistant | Vida Family Medicine LLC | 374 Owens St Se, Suite 100, Salem, OR 97302-4183 |
| Jennifer P Foster | Physician Assistant | Vida Family Medicine LLC | 374 Owens St Se, Suite 100, Salem, OR 97302-4183 |
| Evelin R Dacker | Family Medicine | Vida Family Medicine LLC | 374 Owens St Se, Suite 100, Salem, OR 97302-4183 |
| Andrea Harrell Chiavarini | Obstetrics/gynecology | Vida Family Medicine LLC | 374 Owens St Se, Suite 100, Salem, OR 97302-4183 |
| Patricia Ann Lawrence | Nurse Practitioner | Vida Family Medicine LLC | 374 Owens St Se, Suite 100, Salem, OR 97302-4183 |
| Jennifer S Behnke | Nurse Practitioner | Vida Family Medicine LLC | 374 Owens St Se, Suite 100, Salem, OR 97302-4183 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dorothy Jean Anderson | Psychologist, Clinical | 2264 Mcgilchrist St Se, Suite 100, Salem, OR 97302-1008 | |
| Bill L Hennings | Psychologist, Clinical | 2264 Mcgilchrist St Se, Suite 100, Salem, OR 97302-1008 | |
| Gabriel M Kennedy | Oral Surgery | Howerton, Hopkin and Kennedy LLC | 2266 Mission St Se, Salem, OR 97302-1267 |
| Joel K Hopkin | Oral Surgery | Howerton, Hopkin and Kennedy LLC | 2266 Mission St Se, Salem, OR 97302-1267 |
| Jev A Clark | Oral Surgery | Howerton, Hopkin and Kennedy LLC | 2266 Mission St Se, Salem, OR 97302-1267 |
| David Wesley Howerton | Oral Surgery | Howerton, Hopkin and Kennedy LLC | 2266 Mission St Se, Salem, OR 97302-1267 |
| Tyler Spalding Manson | Podiatry | Santiam Foot Clinic PC | 2235 Mission St Se, Suite 150, Salem, OR 97302-1294 |
| John T Callahan | Podiatry | Santiam Foot Clinic PC | 2235 Mission St Se, Suite 150, Salem, OR 97302-1294 |
| Barbara M Balowitz | Clinical Social Worker | 4035 12th St Cut Off Se, Suite 140, Salem, OR 97302-1754 | |
| Jennifer Carley | Nurse Practitioner | 4035 12th St Cutoff Se, Suite 120, Salem, OR 97302-1754 | |
| Find all physicians in zip 97302 | |||
| City | SALEM |
| Zip Code | 97302 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SALEM + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Adrienne J Maynard.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.