TIMOTHY MAYNARD (NPI# 1215326400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215326400 |
| Entity Type | Individual |
| Full Name | TIMOTHY MAYNARD |
| Credential | PA-C |
| Practice Address |
3100 E Fletcher Ave Tampa FL 33613-4613 |
| Mailing Address |
10600 4th St N Apt 1005 St Petersburg FL 33716-3207 |
| Practice Telephone | 8136157600 |
| Mailing Telephone | 7275120791 |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9108404 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2809 S Fern Creek Ave, Orlando, FL 328065540 | 4078972714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942618657 | Timothy Maynard | Nurse Practitioner | 402 C Street, Ceredo, WV 25507 | 2014-07-25 |
| 1861754889 | Timothy M Maynard | Pharmacist | 705 Trosper Rd Sw, Tumwater, WA 98512-6933 | 2012-06-14 |
| 1649215518 | Timothy Maynard | Nurse Anesthetist, Certified Registered | 3510 N Causeway Blvd, Metairie, LA 70002-3531 | 2006-06-17 |
| 1396706388 | Timothy D. Maynard | Family Medicine | 1507 W Main St, Gatesville, TX 76528-1024 | 2006-03-29 |
| Street Address |
3100 E FLETCHER AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33613-4613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982609715 | Tara Lynn Tingler | Physician Assistant | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 2005-06-17 |
| 1760009104 | Roseline Cajuste | Nurse Practitioner | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 2020-07-01 |
| 1144844481 | Kim Seng Pham | Nurse Anesthetist, Certified Registered | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 2020-06-02 |
| 1639707540 | Kai Mccaslin | Student in an Organized Health Care Education/Training Program | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 2020-03-28 |
| 1013543594 | Matthew Joiner | Nurse Practitioner | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 2020-03-17 |
| 1588290373 | Shaenelle Mcfarlane | Speech-Language Pathologist | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 2020-03-12 |
| 1851922082 | Michael P Woolard | Nurse Anesthetist, Certified Registered | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 2020-01-27 |
| 1508405457 | Shana Hudson | Registered Nurse | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 2019-12-24 |
| 1134767486 | Hayden Ake | Nurse Anesthetist, Certified Registered | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 2019-12-17 |
| 1134766694 | University Community Hospital Inc | Clinical Medical Laboratory | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 2019-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877671 | Lisandra Isabelle Raba | Behavior Technician | 3299 Usf Banyan Circle, Tampa, FL 33613 | 2020-10-02 |
| 1184250490 | Stetho Md LLC | Family Medicine | 1707 E Bearss Ave, Tampa, FL 33613 | 2020-03-18 |
| 1174187645 | Renee Pinheiro | Student in an Organized Health Care Education/Training Program | Usf Health Morsani College of Medicine, 12901 Bruce B Downs Blvd. Mdc5, Tampa, FL 33613 | 2019-04-30 |
| 1104388842 | Heartbeat Home Health Care LLC | Home Health | 13542 N Florida Ave Ste 209-b, Tampa, FL 33613 | 2019-04-02 |
| 1437625357 | Carierx LLC | Pharmacy | 15511 N. Florida Avenue, Ste 601, Tampa, FL 33613 | 2018-10-18 |
| 1205312980 | Sabina Vlaeva | Dentist | Affordable Dentures & Implants, 14936 N Florida Avenue Ste 101, Tampa, FL 33613 | 2018-07-16 |
| 1780170266 | Joy M. Alexander | Driver | 14209 Cyber Pl Apt 102, Tampa, FL 33613 | 2018-07-08 |
| 1598289829 | Lillian Perez | Social Worker | 13542 N Florida Avenue, Suite 210, Tampa, FL 33613 | 2017-07-28 |
| 1134640386 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3100 E Fletcher Ave Ste A165, Tampa, FL 33613 | 2017-06-28 |
| 1770016099 | Marcus Bruno | Physician Assistant | 13701 Bruce B Downs Blvd., Tampa, FL 33613 | 2017-04-04 |
| Find all providers in zip 33613 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356941504 | Kelsey Alexandra Leon | Physician Assistant | 5033 W Laurel St, Tampa, FL 33607-3855 | 2020-10-27 |
| 1144839796 | Alana Marie Arcese | Physician Assistant | 10401 Villa View Cir, Tampa, FL 33647-2598 | 2020-07-29 |
| 1437768512 | Jessica Lynn Flores-mcgrath | Physician Assistant | 14411 Audubon Trce Apt 912, Tampa, FL 33613-5402 | 2020-07-24 |
| 1417574104 | Hunter Vila | Physician Assistant | 5033 W Laurel St Ste 100, Tampa, FL 33607-3855 | 2020-06-29 |
| 1003432360 | Jennifer Rose Baker Koebert | Physician Assistant | 4001 E Fletcher Ave Fl 6, Tampa, FL 33613-4808 | 2020-06-23 |
| 1487277109 | Victoria Mahi Verzwyvelt | Physician Assistant | 4714 N Habana Ave Apt 510, Tampa, FL 33614-7126 | 2020-05-28 |
| 1538780853 | Lexy Hazle | Physician Assistant | 2715 W Mississippi Ave, Tampa, FL 33629-6131 | 2020-04-27 |
| 1619509494 | Amy Sullinger | Physician Assistant | 207 S Occident St, Tampa, FL 33609-2526 | 2020-02-10 |
| 1225668122 | Michelle Korthauer | Physician Assistant | 1531 W Lemon St Apt 1101, Tampa, FL 33606-1014 | 2020-01-20 |
| 1992344360 | Marisa Ehrlich Berger | Physician Assistant | 311 W Idlewild Ave, Tampa, FL 33604-6656 | 2020-01-02 |
| Find all providers in TAMPA | ||||
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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.