CODY MAUCH


Address: 818 Congress St, Portland, ME 04102-3112
Phone: 2077738161

CODY MAUCH (NPI# 1083161822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083161822
Entity Type Individual
Full Name CODY MAUCH
Practice Address 818 Congress St
Portland
ME 04102-3112
Mailing Address 8 Simonton St
South Portland
ME 04106-3132
Practice Telephone 2077738161
Enumeration Date 2016-09-09
Last Update Date 2016-09-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA1645 ME Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 818 CONGRESS ST
City PORTLAND
State ME
Zip Code 04102-3112

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053383547 Leonard V Sherwood Physician Assistant 818 Congress St, Portland, ME 04102-3112 2006-02-07
1932610599 Andrea Wyman Nurse Practitioner 818 Congress St, Portland, ME 04102-3112 2017-10-22
1497277735 Jeffrey G Previte Physician Assistant 818 Congress St, Portland, ME 04102-3112 2017-07-07
1578092706 Monica Chen Patregnani Nurse Practitioner 818 Congress St, Portland, ME 04102-3112 2017-06-10
1003366709 Patricia Mae Wieler Nurse Practitioner 818 Congress St, Portland, ME 04102-3112 2016-10-06
1386198539 Abby Harrell Nurse Practitioner 818 Congress St, Portland, ME 04102 2016-08-04
1902261209 Devin Judith Lyon Physician Assistant 818 Congress St, Portland, ME 04102-3112 2015-12-31
1457742009 Alexis Rybny Registered Nurse 818 Congress St, Portland, ME 04102-3112 2015-02-17
1326455742 Amy Plante Physician Assistant 818 Congress St, Portland, ME 04102-3112 2014-07-17
1952716250 Taylor Hughes Gordon Physician Assistant 818 Congress St, Portland, ME 04102-3112 2014-06-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720602964 Ci Yen Joanna Man Student in an Organized Health Care Education/Training Program 190 Park Ave., Portland, ME 04102 2020-06-03
1841811338 Abby Zarotny Sahagian Nurse Anesthetist, Certified Registered Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 2020-05-06
1124656863 Zachary Bernard Tillett Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall St., Portland, ME 04102 2020-03-30
1215564323 Joshua Allen Swenson Student in an Organized Health Care Education/Training Program 33 Bramhall St, Portland, ME 04102 2020-03-26
1740776434 Rishi Phakey Dentist Community Dental, 190 Park Ave, Portland, ME 04102 2018-07-05
1982192571 Jessica Thomas Doula 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 2018-04-29
1699270744 Shane D Kirkegaard Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall Street, Portland, ME 04102 2018-03-29
1144752494 Al-shawk Home Healthcare, LLC Technician 640 Brighton Ave Ste 8, Portland, ME 04102 2017-03-28
1376074674 Samuel B Potter Emergency Medicine Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 2017-03-27
1043767536 Kevin De Ruiter Social Worker 129 Pine St Apt 6, Portland, ME 04102 2016-09-01
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073081428 Ishah Marie Price Physician Assistant 30 Preble St Apt 663, Portland, ME 04101-4939 2018-11-04
1740797166 Joseph Something Physician Assistant 4800 Sw 76th Ave, Portland, OR 97225-1804 2018-01-08
1235687013 Satchel Harry Physician Assistant 417 Sw 117th Ave Fl 2, Portland, OR 97225-5924 2016-09-21
1922551910 Ashley Crowell Physician Assistant 949 Nw Overton St Unit 306, Portland, OR 97209 2016-07-26
1871982975 Colin Storz Physician Assistant 3623 N Borthwick Ave, Portland, OR 97227-1218 2015-01-13
1275888729 Stephanie Calvin Physician Assistant 782 College St, Portland, TN 37148-2120 2012-07-20
1174800031 Carolyn Frances Farrell Physician Assistant 450 N Graham St, Portland, OR 97227-1682 2011-11-07
1316130198 Ronald W Kessler Physician Assistant 632 Brighton Ave, Portland, ME 04102-1017 2007-08-24
1124210778 Honey E.l. Marques Physician Assistant 16279 Se Division St, Portland, OR 97236-1971 2007-08-16
1124177902 Dmitriy Shore Physician Assistant 10305 Sw Park Way Ste 300, Portland, OR 97225-5033 2007-01-09
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Competitor

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City PORTLAND
Zip Code 04102

Improve Information

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Dataset Information

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.

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