Maya Mauch (NPI# 1093129488, PAC ID# 7810282183) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1093129488 |
| PAC ID by PECOS | 7810282183 |
| Professional Enrollment ID | I20170925001893 |
| Full Name | Maya Mauch |
| Organization Legal Name | SOUTH END COMMUNITY HEALTH CENTER INC |
| Address |
1601 Washington St Boston MA 02118-1951 |
| Phone Number | 6174252000 |
| Gender | F |
| Medical School | UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9537063722 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220031 | BOSTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1601 Washington St, Boston, MA 02118-1951 | 6174252000 | SOUTH END COMMUNITY HEALTH CENTER INC |
| Organization Legal Name | SOUTH END COMMUNITY HEALTH CENTER INC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| T.lee Shostack | Clinical Social Worker | South End Community Health Center Inc | 1601 Washington St, Boston, MA 02118-1951 |
| Nichole T Daly | Registered Dietitian Or Nutrition Professional | South End Community Health Center Inc | 1601 Washington St, Boston, MA 02118-1951 |
| Deanne Dworski-riggs | Clinical Social Worker | South End Community Health Center Inc | 1601 Washington St, Boston, MA 02118-1951 |
| Glennon J O Grady | Family Medicine | South End Community Health Center Inc | 1601 Washington St, Boston, MA 02118-1951 |
| Felix Trede | Psychologist, Clinical | South End Community Health Center Inc | 1601 Washington St, Boston, MA 02118-1951 |
| Elizabeth A Davis | Internal Medicine | South End Community Health Center Inc | 1601 Washington St, Boston, MA 02118-1951 |
| Michael D Schreiber | Nurse Practitioner | South End Community Health Center Inc | 1601 Washington St, Boston, MA 02118-1951 |
| Deborah J Sheldon | Nurse Practitioner | South End Community Health Center Inc | 1601 Washington St, Boston, MA 02118-1951 |
| Raymond Walden | Clinical Social Worker | South End Community Health Center Inc | 1601 Washington St, Boston, MA 02118-1951 |
| Kareena Richards | Clinical Social Worker | South End Community Health Center Inc | 1601 Washington St, Boston, MA 02118-1951 |
| Street Address |
1601 WASHINGTON ST |
| City | BOSTON |
| State | MA |
| Zip | 02118-1951 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| T.lee Shostack | Clinical Social Worker | South End Community Health Center Inc | 1601 Washington St, Boston, MA 02118-1951 |
| Nichole T Daly | Registered Dietitian Or Nutrition Professional | South End Community Health Center Inc | 1601 Washington St, Boston, MA 02118-1951 |
| Deanne Dworski-riggs | Clinical Social Worker | South End Community Health Center Inc | 1601 Washington St, Boston, MA 02118-1951 |
| Glennon J O Grady | Family Medicine | South End Community Health Center Inc | 1601 Washington St, Boston, MA 02118-1951 |
| Felix Trede | Psychologist, Clinical | South End Community Health Center Inc | 1601 Washington St, Boston, MA 02118-1951 |
| Elizabeth A Davis | Internal Medicine | South End Community Health Center Inc | 1601 Washington St, Boston, MA 02118-1951 |
| Michael D Schreiber | Nurse Practitioner | South End Community Health Center Inc | 1601 Washington St, Boston, MA 02118-1951 |
| Deborah J Sheldon | Nurse Practitioner | South End Community Health Center Inc | 1601 Washington St, Boston, MA 02118-1951 |
| Raymond Walden | Clinical Social Worker | South End Community Health Center Inc | 1601 Washington St, Boston, MA 02118-1951 |
| Kareena Richards | Clinical Social Worker | South End Community Health Center Inc | 1601 Washington St, Boston, MA 02118-1951 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren M Nentwich | Emergency Medicine | Boston Emergency Physician Foundation Inc | 1 Boston Med Ctre Pl, Boston, MA 02118 |
| Sancho Maulion | Physical Therapy | 801 B Tremont St, Boston, MA 02118-1054 | |
| Amanda Kate Turcotte | Optometry | L Martin Eye Incorporated | 681 Tremont St, Boston, MA 02118-1281 |
| Susan M Haskell | Clinical Social Worker | 135 W Concord St, Boston, MA 02118-1507 | |
| Sarah Stipho | Oral Surgery | Joseph P Nore Dds Inc | 586 Tremont St, Boston, MA 02118-1659 |
| Vanessa Ryan | Nurse Practitioner | South End Community Health Center Inc | 1601 Washington St, Boston, MA 02118-1951 |
| Sibyl Lynn Salisbury | Nurse Practitioner | South End Community Health Center Inc | 1601 Washington St, Boston, MA 02118-1951 |
| Alexandra S Rautiola | Nurse Practitioner | South End Community Health Center Inc | 1601 Washington St, Boston, MA 02118-1951 |
| Jessica Lebow | Clinical Social Worker | South End Community Health Center Inc | 1601 Washington St, Boston, MA 02118-1951 |
| Keila Casillas Claudio | Nurse Practitioner | South End Community Health Center Inc | 1601 Washington St, Boston, MA 02118-1951 |
| Find all physicians in zip 02118 | |||
| City | BOSTON |
| Zip Code | 02118 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BOSTON + FAMILY MEDICINE |
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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.