Michaela Ann Maynard (NPI# 1083090849, PAC ID# 3375852569) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1083090849 |
| PAC ID by PECOS | 3375852569 |
| Professional Enrollment ID | I20180306002639 |
| Full Name | Michaela Ann Maynard |
| Organization Legal Name | THE MIRIAM HOSPITAL |
| Address |
1125 N Main St Providence RI 02904-5739 |
| Phone Number | 4017934491 |
| Gender | F |
| Medical School | YALE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6901796408 |
| Number of Group Practice Members | 191 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410012 | THE MIRIAM HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1125 N Main St, Providence, RI 02904-5739 | 4017934491 | THE MIRIAM HOSPITAL |
| Organization Legal Name | THE MIRIAM HOSPITAL |
| Physicians | 79 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melanie A Hill | Nurse Practitioner | The Miriam Hospital | 146 W River St, Fl 3, Providence, RI 02904-2609 |
| Lisa Bonin | Nurse Practitioner | The Miriam Hospital | 950 Warren Ave, Fl 2, East Providence, RI 02914-1432 |
| Laura J Henseler | Family Medicine | The Miriam Hospital | 1377 S County Trl, Unit 1, East Greenwich, RI 02818-5106 |
| Rebecca E Soinski | Internal Medicine | The Miriam Hospital | 146 W River St, Fl 3, Providence, RI 02904-2609 |
| Lisa J Goldstein | Pathology | The Miriam Hospital | 164 Summit Ave, Providence, RI 02906-2853 |
| Laurel A Gay | Physician Assistant | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Sleiman El Jamal | Neurology | The Miriam Hospital | 164 Summit Ave, Providence, RI 02906-2853 |
| Kathy A Rebeiro | Nurse Practitioner | The Miriam Hospital | 146 W River St, Fl 3, Providence, RI 02904-2609 |
| Martin M Miner | Hematology/oncology | The Miriam Hospital | 164 Summit Ave, Providence, RI 02906-2853 |
| Ricky D Grisson Ii | Pathology | The Miriam Hospital | 164 Summit Ave, Providence, RI 02906-2853 |
| Street Address |
1125 N MAIN ST |
| City | PROVIDENCE |
| State | RI |
| Zip | 02904-5739 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Pa Resnick | Physician Assistant | The Miriam Hospital | 1125 N Main St, Providence, RI 02904-5739 |
| Christopher M Tessier | Endocrinology | Brown Medicine | 1125 N Main St, Providence, RI 02904-5739 |
| Lynn Erica Taylor | Internal Medicine | The Miriam Hospital | 1125 N Main St, Providence, RI 02904-5739 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert B Patterson | Vascular Surgery | 486 Silver Spring St, Providence, RI 02904-1556 | |
| Nishit Shah | Colorectal Surgery (proctology) | University Surgical Associates, Inc. | 208 Collyer St, Suite 302, Providence, RI 02904-1560 |
| Laurel A Gay | Physician Assistant | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Adam Klipfel | Colorectal Surgery (proctology) | University Surgical Associates, Inc. | 208 Collyer St, Suite 302, Providence, RI 02904-1560 |
| Fredric V Christian | Cardiovascular Disease (cardiology) | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Roger D Raymond | Cardiovascular Disease (cardiology) | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Michelle Kristen Finkelman | Nurse Practitioner | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Olivia Macaskill | Nurse Practitioner | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Susan P Emaus | Physician Assistant | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Kenneth S Korr | Cardiovascular Disease (cardiology) | The Miriam Hospital | 208 Collyer St, Providence, RI 02904-1560 |
| Find all physicians in zip 02904 | |||
| City | PROVIDENCE |
| Zip Code | 02904 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PROVIDENCE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Michaela Ann 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.