MAX TRAVIS MAHAFFEY (NPI# 1154546802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154546802 |
| Entity Type | Individual |
| Full Name | MAX TRAVIS MAHAFFEY |
| Credential | ATC, LAT |
| Practice Address |
3347 Masonic Dr Alexandria LA 71301-3842 |
| Mailing Address |
1410 College St Pineville LA 71360-5215 |
| Practice Telephone | 3184484959 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083S0010X |
Preventive Medicine Specialization: Sports Medicine |
ATH.200021 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
3347 MASONIC DR |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71301-3842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477599645 | George H Lacour | Occupational Therapist | 3347 Masonic Dr, Alexandria, LA 71301-3842 | 2006-06-22 |
| 1831504687 | Shayne Kimble | Speech-Language Pathologist | 3347 Masonic Dr, Alexandria, LA 71301-3842 | 2014-06-30 |
| 1851616155 | John Carl Davidson Jr. | Physical Therapist | 3347 Masonic Dr, Alexandria, LA 71301-3842 | 2010-03-30 |
| 1528276581 | Barry John Duplantis Jr. | Specialist/Technologist | 3347 Masonic Dr, Alexandria, LA 71301-3842 | 2007-05-21 |
| 1982823357 | Quantrell Elijah Rashad Toval | Specialist/Technologist | 3347 Masonic Dr, Alexandria, LA 71301-3842 | 2007-04-24 |
| 1649498205 | Jamie Marie Cochran | Specialist/Technologist | 3347 Masonic Dr, Alexandria, LA 71301-3842 | 2007-04-20 |
| 1992922264 | Scott Wayne Cochran | Specialist/Technologist | 3347 Masonic Dr, Alexandria, LA 71301-3842 | 2007-04-19 |
| 1174643043 | Raven Nicole Dugas | Specialist/Technologist | 3347 Masonic Dr, Alexandria, LA 71301-3842 | 2007-04-02 |
| 1629118807 | Catherine Lee O'dell | Physical Therapist | 3347 Masonic Dr, Alexandria, LA 71301-3842 | 2007-02-07 |
| 1649317397 | Jane D Upton | Speech-Language Pathologist | 3347 Masonic Dr, Alexandria, LA 71301-3842 | 2007-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217457 | Geaux Trans Transportation | Non-emergency Medical Transport (VAN) | 3101 Quail Court Apt A, Alexanadria, LA 71301 | 2019-10-23 |
| 1679115497 | Emily Belgard | Case Manager/Care Coordinator | 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 | 2019-10-14 |
| 1316591878 | Leronisha Murphey | Technician | 1300 Jackson Street, Alexandria, LA 71301 | 2019-08-01 |
| 1144782996 | Ashley Billings | Student in an Organized Health Care Education/Training Program | 403 E 3rd Street Ste 3h, Family Medicine, Alexandria, LA 71301 | 2019-04-02 |
| 1740753110 | Maranda Trotti Voorhies | Nurse Practitioner | 501 Medical Center Dr. Suite 200, Alexandria, LA 71301 | 2019-01-08 |
| 1326565359 | Sheryl Ann Truman | Registered Nurse | 3224 Madonna Drive, Alexandria, LA 71301 | 2017-08-30 |
| 1770001620 | Casey Holts | Counselor | 5760 Goodland Trace, Alexandria, LA 71301 | 2017-08-30 |
| 1942735956 | Transforming Lives, Inc. | Community/Behavioral Health | 1428 Peterman Dr Ste A, Alexandria, LA 71301 | 2017-04-27 |
| 1790216703 | Johnnetta Rutledge | Counselor | 39 Kent Ave, Alexandria, LA 71301 | 2017-03-22 |
| 1104367788 | Clarissa Dione Pugh | Counselor | 23 Tennessee Ave, Alexandria, LA 71301 | 2017-03-15 |
| Find all providers in zip 71301 | ||||
| Taxonomy Code | 2083S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Sports Medicine |
| A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598243412 | Brooke Lynn Boggs | Preventive Medicine | 800 North Hazel St., Hammond, LA 70401 | 2018-08-02 |
| 1396307476 | Angelique Blair Carmouche | Preventive Medicine | Lsu Athletic Administration Building, Baton Rouge, LA 70803-0001 | 2019-06-28 |
| City | ALEXANDRIA |
| Zip Code | 71301 |
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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.