PAUL ANDREW MAHONEY II (NPI# 1144793936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144793936 |
| Entity Type | Individual |
| Full Name | PAUL ANDREW MAHONEY II |
| Credential | A.T.,C. L.A.T. |
| Practice Address |
6319 County Line Rd Ira MI 48023-1003 |
| Mailing Address |
36668 Catalpa Ln New Baltimore MI 48047-5578 |
| Practice Telephone | 5866482528 |
| Mailing Telephone | 5866125120 |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2601000611 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BOARD OF CERTIFICATION INC. (BOC) | 049302490 | 01 | |
| MI | STATE OF MICHIGAN DEPARTMENT OF COMMUNITY HEALTH | 2601000611 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093011801 | Paul J Mahoney II | Behavioral Analyst | 33 Perry Ave, Attleboro, MA 02703-2417 | 2011-01-27 |
| 1518906544 | Paul S Mahoney | Orthopaedic Surgery | 7972 W Thunderbird Rd, Suite 104, Peoria, AZ 85381-4903 | 2006-06-05 |
| 1578539201 | Paul D Mahoney | Internal Medicine | 844 Kempsville Rd, Suite 204, Norfolk, VA 23502 | 2006-02-23 |
| Street Address |
6319 COUNTY LINE RD |
| City | IRA |
| State | MI |
| Zip Code | 48023-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053688473 | Betty J Delaere | Counselor | 9844 Dixie Highway, Fair Haven, MI 48023 | 2011-11-30 |
| 1295941375 | Physician Healthcare Network, PC | Clinic/Center | 10127 Marine City Hwy, Ira, MI 48023-1008 | 2007-05-15 |
| 1518331131 | Seton Health Corporation of Southeastern Michigan | Emergency Medicine | 10127 Marine City Hwy, Ira, MI 48023-1009 | 2015-11-19 |
| 1770811499 | Deborah Mueller | Counselor | 10201 Dixie Hwy, Ira, MI 48023-1755 | 2009-11-19 |
| 1770911257 | Mark Rogers | Counselor | 7027 Meldrum Rd, Ira, MI 48023-2427 | 2013-10-22 |
| 1972784254 | Township of Ira | Ambulance | 7085 Meldrum Rd, Ira, MI 48023-2427 | 2007-11-15 |
| 1871673368 | Stephen Smith | Chiropractor | 8806 Dixie Hwy, Ira, MI 48023-2473 | 2006-10-17 |
| 1184801110 | Ira Chiro PC | Chiropractor | 8806 Dixie Hwy, Ira, MI 48023-2473 | 2008-01-22 |
| 1699120717 | Victoria Reed | Technician, Other | 7940 Alexandria Dr, Ira, MI 48023-2486 | 2016-04-26 |
| 1669738795 | David Scott Dakroub I | Counselor | 7090 Swan Creek Rd, Ira, MI 48023-2533 | 2012-04-03 |
| Find all providers in zip 48023 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052027 | Brianna Redmond | Specialist/Technologist | 2145 Sunset Ln, Saginaw, MI 48604-2443 | 2020-10-31 |
| 1386243913 | Carrie A Lindsay | Specialist/Technologist | 4761 Highland Rd, Waterford, MI 48328-1178 | 2020-10-24 |
| 1528667128 | Bethany Lynn York | Specialist/Technologist | 1461 Crest Rd, Gladwin, MI 48624-7606 | 2020-10-23 |
| 1255930962 | Benjamin Foddrill | Specialist/Technologist | 7380 Clearview Dr, Caledonia, MI 49316-9309 | 2020-10-22 |
| 1427656040 | Travis Zaborowski | Specialist/Technologist | 2412 W 4th Ave, Sault Sainte Marie, MI 49783-1212 | 2020-10-15 |
| 1730787912 | Batoul Kassem | Specialist/Technologist | 6045 Steadman St, Dearborn, MI 48126-2052 | 2020-10-11 |
| 1801493697 | Janelle Dorsey | Specialist/Technologist | 24311 Ithaca St, Oak Park, MI 48237-1788 | 2020-10-05 |
| 1194332379 | Bryan Keith Baines Sr. | Specialist/Technologist | 4333 John R Rd, Troy, MI 48085-3681 | 2020-09-30 |
| 1205443553 | Emma Weber | Specialist/Technologist | 7776 Percheron St, Kalamazoo, MI 49009-5990 | 2020-09-29 |
| 1295342616 | Margaret Ann Gilbeau | Specialist/Technologist | 38051 Metro Villa Dr Unit 114f, Harrison Township, MI 48045-3553 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
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| 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.