DR. DAMIEN MAXFIELD MARYCZ (NPI# 1356515142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356515142 |
| Entity Type | Individual |
| Full Name | DR. DAMIEN MAXFIELD MARYCZ |
| Credential | M.D. |
| Practice Address |
Graduate Medical Education 800 Rose Street Lexington KY 40536-0001 |
| Mailing Address |
1017 Lemon Rue Way Lexington KY 40515-6475 |
| Practice Telephone | 8593232636 |
| Mailing Telephone | 5707513052 |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2017-02-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
45367 | KY | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
45367 | KY | Allopathic & Osteopathic Physicians |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | OH | Student, Health Care |
| Street Address |
GRADUATE MEDICAL EDUCATION 800 ROSE STREET |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40536-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394583 | Mary Luz Calderon | Physician Assistant | Uk Pediatric Neonatology, 800 Rose St 4th Fl, Lexington, KY 40536 | 2020-07-28 |
| 1598389421 | Storm Bryant Dutton | Physician Assistant | Uk Emergency Department - Chandler, 1000 S Limestone, Lexington, KY 40536 | 2020-06-06 |
| 1720601545 | Tyler Allen Pape | Physician Assistant | Uk Surgery Clinic - General, 740 S Limestone Ste L104, Lexington, KY 40536 | 2020-05-27 |
| 1417579269 | Kacy Clinkenbeard | Physician Assistant | Uk Healthcare-icu, 800 Rose St, Lexington, KY 40536 | 2020-05-15 |
| 1023578804 | William Chalmers Ruffin | Student in an Organized Health Care Education/Training Program | 740 South Limestone St. E300e, Lexington, KY 40536 | 2019-03-20 |
| 1942705728 | Karah Lee Ellen Brown | Dentist | 800 Rose Street, Room D-508, Lexington, KY 40536 | 2018-03-26 |
| 1982109708 | Khader Samir Habash | Dentist | 740 S Limestone Room A262, Lexington, KY 40536 | 2018-03-25 |
| 1609370683 | Casey Michael Fitzgerald | Otolaryngology | 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 | 2018-03-22 |
| 1538663992 | Heather Oaks | Nurse Practitioner | Uk Gill Heart Institute 800 Rose St, Lexington, KY 40536 | 2018-03-21 |
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| Find all providers in zip 40536 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117265 | Andrew Lanham | Student in an Organized Health Care Education/Training Program | 138 York St, Lexington, KY 40508-1879 | 2020-09-03 |
| 1780209429 | Hayley Elizabeth Webber | Student in an Organized Health Care Education/Training Program | 2151 Meeting St Apt 4210, Lexington, KY 40509-4646 | 2020-06-09 |
| 1568081974 | Nicole Marie Hall | Student in an Organized Health Care Education/Training Program | 374 Preston Ave, Lexington, KY 40502-1532 | 2020-04-15 |
| 1720607633 | Abigail Clark | Student in an Organized Health Care Education/Training Program | 800 Rose St Ste C-246, Lexington, KY 40536-0293 | 2020-04-10 |
| 1225657471 | Gabriella M Velonias | Student in an Organized Health Care Education/Training Program | 2261 Massachusetts Ave, Lexington, MA 02421-6712 | 2020-04-08 |
| 1811526866 | Evan Brady Lynch | Student in an Organized Health Care Education/Training Program | 740 South Limestone St Suite K454, Lexington, KY 40536-0293 | 2020-04-02 |
| 1982232237 | Brian Patrick Kinealy | Student in an Organized Health Care Education/Training Program | Uk Medical Center 800 Rose Street Room C-236, Lexington, KY 40536-0001 | 2020-03-31 |
| 1134757651 | Leonard Nsoyori Yenwongfai | Student in an Organized Health Care Education/Training Program | 800 Rose St Rm Ms -117, Lexington, KY 40536-0293 | 2020-03-30 |
| 1427686054 | James Hallahan | Student in an Organized Health Care Education/Training Program | 800 Rose St Pavillion H, Lexington, KY 40536-0001 | 2020-03-30 |
| 1285262824 | Ivan Huynh | Student in an Organized Health Care Education/Training Program | 740 South Limestone A219, Lexington, KY 40536-0001 | 2020-03-30 |
| Find all providers in LEXINGTON | ||||
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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.