Kyle M Maxam (NPI# 1124476411, PAC ID# 3072874890) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1124476411 |
| PAC ID by PECOS | 3072874890 |
| Professional Enrollment ID | I20180220001532 |
| Full Name | Kyle M Maxam |
| Organization Legal Name | EYEDOCS FAMILY EYE CARE |
| Address |
430 Arlington Rd Suite B Brookville OH 45309-1103 |
| Phone Number | 9377701265 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY |
| Graduation Year | 2016 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8325308679 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 430 Arlington Rd, Suite B, Brookville, OH 45309-1103 | 9377701265 | EYEDOCS FAMILY EYE CARE |
| Organization Legal Name | EYEDOCS FAMILY EYE CARE |
| Physicians | 1 |
| Street Address |
430 ARLINGTON RD SUITE B |
| City | BROOKVILLE |
| State | OH |
| Zip | 45309-1103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Dickey | Optometry | 430 Arlington Rd B, Brookville, OH 45309-1103 | |
| Mark Schmidt | Optometry | 460 Rona Pkwy, Brookville, OH 45309-1118 | |
| Jeffrey Studebaker | Family Medicine | Samaritan Family Care Inc | 98 Mosier Pkwy, Brookville, OH 45309-1750 |
| Kathy O Ferriell | Nurse Practitioner | Samaritan Family Care Inc | 98 Mosier Pkwy, Brookville, OH 45309-1750 |
| Sarah J Neal | Nurse Practitioner | Samaritan Family Care Inc | 950 Salem St, Brookville, OH 45309-8227 |
| Elaine K Scott | Nurse Practitioner | Samaritan Family Care Inc | 950 Salem St, Brookville, OH 45309-8227 |
| Salva Garcia Bernal Ahmed | Family Medicine | Samaritan Family Care Inc | 950 Salem St, Brookville, OH 45309-8227 |
| Andrew J Diller | Family Medicine | Samaritan Family Care Inc | 950 Salem St, Brookville, OH 45309-8227 |
| Susan F Davis Brown | Internal Medicine | Samaritan Family Care Inc | 950 Salem St, Brookville, OH 45309-8227 |
| Denise Ann Hinders | Nurse Practitioner | Tapestry Telehealth Pllc | 9529 Wellbaum Rd, Brookville, OH 45309-9230 |
| Find all physicians in zip 45309 | |||
| City | BROOKVILLE |
| Zip Code | 45309 |
| Specialty | OPTOMETRY |
| City + Specialty | BROOKVILLE + OPTOMETRY |
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| 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.