JOSEPH R MAYO (NPI# 1285639641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285639641 |
| Entity Type | Individual |
| Full Name | JOSEPH R MAYO |
| Credential | MD |
| Practice Address |
400 Matthew St Ste 302 Marietta OH 45750-1644 |
| Mailing Address |
Po Box 449 Marietta OH 45750-0449 |
| Practice Telephone | 7405685207 |
| Practice Fax Number | 7405685297 |
| Mailing Telephone | 7403744500 |
| Mailing Fax Number | 7403745887 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2013-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
35049513M | OH | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
35049513 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0629029 | 05 | |
| OH | RAILROAD MEDICARE - MMH | P01227144 | 01 |
| WV | 0211510000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497024947 | Joseph Lee Mayo II | Obstetrics & Gynecology | 5949 Dry Creek Rd, Healdsburg, CA 95448-9199 | 2011-12-28 |
| 1376537043 | Joseph Francis Mayo Jr. | Surgery | 3250 Gordonville Rd, Suite 358, Cape Girardeau, MO 63703-5056 | 2005-09-08 |
| 1699386318 | Joseph Ivan Mayo | Behavior Technician | 1651 Old Meadow Rd, Mc Lean, VA 22102-4311 | 2020-08-14 |
| 1407183924 | Joseph William Mayo | Pediatrics | 1911 Buena Vista Ave, Carthage, MO 64836-3178 | 2009-11-04 |
| 1558511022 | Joseph John Mayo | Occupational Therapist | 815 Freeport Rd, Pittsburgh, PA 15215-3301 | 2008-09-22 |
| 1366522476 | Joseph Graham Mayo IIi | Orthopaedic Surgery | 4300 Rose Dr, Yorba Linda, CA 92886 | 2006-10-16 |
| 1659322683 | Joseph A Mayo Jr. | Chiropractor | 4640 Page Ave, Michigan Center, MI 49254-1042 | 2006-05-15 |
| Street Address |
400 MATTHEW ST STE 302 |
| City | MARIETTA |
| State | OH |
| Zip Code | 45750-1644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164970919 | Jessica Starling | Nurse Practitioner | 400 Matthew St, Suite 401, Marietta, OH 45750-1644 | 2016-09-21 |
| 1073984829 | Kristeva Jo Knab | Physician Assistant | 400 Matthew St, Suite 401, Marietta, OH 45750-1644 | 2015-10-19 |
| 1033588405 | Alyse Shapaka | Physician Assistant | 400 Matthew St, Suite 200, Marietta, OH 45750-1644 | 2015-09-16 |
| 1982072054 | Chandler Leann Myers | Nurse Practitioner | 400 Matthew St, Strecker Cancer Center, Marietta, OH 45750 | 2015-09-08 |
| 1487021200 | Brian P. Peppel | Physician Assistant | 400 Matthew St, Suite 200, Marietta, OH 45750-1644 | 2015-08-27 |
| 1548676778 | Jenny M Daubert | Physician Assistant | 400 Matthew St, Suite 303, Marietta, OH 45750-1644 | 2014-07-09 |
| 1568895993 | Amy L Albrecht | Physician Assistant | 400 Matthew St, Strecker Cancer Center, Marietta, OH 45750-1644 | 2013-08-21 |
| 1609145242 | Lakyn Allison Merrifield | Physician Assistant | 400 Matthew St, Suite 302, Marietta, OH 45750-1644 | 2011-12-28 |
| 1578848941 | Cathy J. Lee | Nurse Practitioner | 400 Matthew St, Suite 305, Marietta, OH 45750-1644 | 2011-10-18 |
| 1780969360 | Spencer Walter Gale | Physician Assistant | 400 Matthew St, Suite 401, Marietta, OH 45750-1644 | 2011-10-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
| 1811449010 | Kaylee Rebecca-ann Weihl | Counselor | 207 D Colegate Drive, Marietta, OH 45750 | 2016-11-04 |
| 1467802181 | Jody Alden | Registered Nurse | 342 Muskingum Dr., Marietta, OH 45750 | 2016-06-14 |
| 1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
| 1639559602 | Washington County Board of Developmental Dissabilities | Day Training, Developmentally Disabled Services | 1701 Colegate Dr., Marietta, OH 45750 | 2015-06-04 |
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1134520356 | Susan Jahn | Occupational Therapist | 1338a Colegate Dr, Marietta, OH 45750 | 2014-09-08 |
| 1740696087 | Melissa D Maston | Registered Nurse | Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 | 2014-07-08 |
| Find all providers in zip 45750 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972528040 | Jennifer M Jones | Internal Medicine | 400 Matthew St Ste 302, Marietta, OH 45750-1656 | 2006-07-12 |
| 1447291216 | Vineet Dua | Internal Medicine | 3747 Roswell Rd Ste 213, Marietta, GA 30062-6227 | 2006-06-10 |
| 1699721662 | Kennestone Heart Physicians Group | Internal Medicine | 355 Tower Road, Suite 300, Marietta, GA 30060 | 2006-05-25 |
| 1821066739 | Gregory L Simone | Internal Medicine | 604 Keeler Woods Dr Nw, Marietta, GA 30064-2064 | 2006-03-08 |
| 1336543529 | Wellstar Medical Group, LLC | Internal Medicine | 61 Whitcher St Ne, Suite 4100b, Marietta, GA 30060-1181 | 2014-10-16 |
| 1386064962 | Joshua Randall Clevenger | Internal Medicine | 400 Matthew St Ste 302, Marietta, OH 45750-1656 | 2014-04-22 |
| 1306178256 | Motaz Moussa | Internal Medicine | 400 Matthew St, Suite 302, Marietta, OH 45750-1644 | 2010-02-03 |
| 1548496433 | Kennestone Heart Physicians Group, PC | Internal Medicine | 1230 Johnson Ferry Pl, Suite B-10, Marietta, GA 30068-2048 | 2009-06-05 |
| 1538303409 | Richard A Bardack | Internal Medicine | 55 Whitcher St Ne, Suite 350, Marietta, GA 30060-1155 | 2009-04-22 |
| 1285877274 | Kennestone Heart Physicians Group, PC | Internal Medicine | 2513 Shallowford Rd, Building 100, Marietta, GA 30066-6809 | 2009-04-07 |
| Find all providers in MARIETTA | ||||
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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.