JEFFREY M MAIRE (NPI# 1366557167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366557167 |
Entity Type | Individual |
Full Name | JEFFREY M MAIRE |
Credential | DO |
Practice Address |
515 Pacific Ave Audubon IA 50025-1056 |
Practice Telephone | 7125635304 |
Practice Fax Number | 7125635275 |
Mailing Telephone | 7125632611 |
Mailing Fax Number | 7125635298 |
Enumeration Date | 2006-08-20 |
Last Update Date | 2018-09-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | 3603 | IA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0453886 | 05 |
Street Address |
515 PACIFIC AVE |
City | AUDUBON |
State | IA |
Zip Code | 50025-1056 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114919818 | Shelley Brinkman Diehl | Physician Assistant | 515 Pacific Ave, Audubon, IA 50025-1056 | 2005-08-18 |
1770931412 | Rae Marie Mcdivitt | Nurse Practitioner | 515 Pacific Ave, Audubon, IA 50025-1056 | 2016-06-02 |
1013314350 | Valerie Ann Riesberg | Nurse Practitioner | 515 Pacific Ave, Audubon, IA 50025-1056 | 2014-12-02 |
1891101457 | Stephanie Vampola-runyan | Family Medicine | 515 Pacific Ave, Audubon, IA 50025-1056 | 2014-07-03 |
1942645478 | Christopher F. Stubbs | Family Medicine | 515 Pacific Ave, Suite 2, Audubon, IA 50025-1056 | 2013-05-10 |
1265717482 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 515 Pacific Ave, Audubon, IA 50025-1056 | 2011-10-19 |
1851690432 | Audubon County Memorial Hospital | Clinic/Center | 515 Pacific Ave, Suite 2, Audubon, IA 50025-1056 | 2011-03-22 |
1437281144 | Cunningham Family Healthcare PC | Family Medicine | 515 Pacific Ave, Suite 2, Audubon, IA 50025-1056 | 2007-03-09 |
1316901580 | Carol Klocke | Nurse Practitioner | 515 Pacific Ave, Audubon, IA 50025-1052 | 2006-04-14 |
1316900319 | George Smith | Nurse Practitioner | 515 Pacific Ave, Audubon, IA 50025-1052 | 2006-04-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316905888 | Terry L Sprague | Family Medicine | 222 Broadway, Audubon Medical Clinic, Audubon, IA 50025 | 2006-05-03 |
1841340270 | James Michael Cunningham | Family Medicine | 515 Pacific Ave Ste 2, Audubon, IA 50025-1056 | 2007-01-10 |
1548654189 | Charles Ryan Burkett | Family Medicine | 515 Pacific Ave Ste 2, Audubon, IA 50025-1056 | 2015-03-21 |
1679573893 | Patty E. Hildreth | Nurse Practitioner | 222 Broadway St, Audubon, IA 50025-1103 | 2005-07-29 |
1770995565 | Vivian D Chance Arnp LLC | Nurse Practitioner | 222 Broadway St, Audubon, IA 50025-1103 | 2014-05-28 |
1245281450 | Kimwood, Inc. | Pharmacy | 316 Broadway St, Audubon, IA 50025-1104 | 2006-05-12 |
1295231785 | Adam Mikkelsen | Pharmacist | 316 Broadway St, Audubon, IA 50025-1104 | 2018-04-03 |
1598172025 | Grx | Pharmacy | 316 Broadway St, Audubon, IA 50025-1104 | 2014-07-16 |
1215235080 | Burns Chiropractic | Chiropractor | 308 Broadway St, Audubon, IA 50025-1104 | 2011-03-03 |
1114156387 | Justin D Burns | Chiropractor | 308 Broadway St, Audubon, IA 50025-1104 | 2009-07-09 |
Find all providers in zip 50025 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730798810 | Abhinav Seth | Surgery | 200 Hawkins Dr Dept of Organ Transplant Center, Iowa City, IA 52242-1009 | 2020-07-24 |
1073137485 | Jeremy Chang | Surgery | 200 Hawkins Dr Dept of Surgery, Iowa City, IA 52242-1009 | 2020-06-01 |
1013579077 | Apoorve Nayyar | Surgery | 200 Hawkins Dr # Surgery, Iowa City, IA 52242-1009 | 2019-06-30 |
1093207268 | Rafael Alejandro Ramos Vecchio | Surgery | 200 Hawkins Dr Dept Surgery, Iowa City, IA 52242-1009 | 2018-06-04 |
1942714514 | Donald Joseph Anderson | Surgery | 3317 Southern Hills Dr, Des Moines, IA 50321-1434 | 2017-11-19 |
1609304336 | Catherine Tran | Surgery | 200 Hawkins Dr Dept Gensurg, Iowa City, IA 52242-1009 | 2017-05-25 |
1891112579 | Isaac Hinton | Surgery | 4480 Utica Ridge Rd Ste 1124, Bettendorf, IA 52722-1644 | 2014-03-19 |
1215376298 | Accelecare Wound Professionals LLC | Surgery | 4225 Fleur Dr # 190, Des Moines, IA 50321-2325 | 2013-06-23 |
1952749111 | Abhishek Krishna Kashyap | Surgery | Department of Surgery, 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2013-06-10 |
1063858553 | Phillip Gabriel Bailey | Surgery | 1515 Delhi St Ste 200, Dubuque, IA 52001-6320 | 2013-05-11 |
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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.