DR. JAMES P MAUCK JR.


Address: 2405 W Lexington Ave, Elkhart, IN 46514-1417
Phone: 5742958805

DR. JAMES P MAUCK JR. (NPI# 1467480996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467480996
Entity Type Individual
Full Name DR. JAMES P MAUCK JR.
Credential M.D.
Practice Address 2405 W Lexington Ave
Elkhart
IN 46514-1417
Practice Telephone 5742958805
Practice Fax Number 5745220039
Mailing Telephone 5742958805
Mailing Fax Number 5745220039
Enumeration Date 2006-06-30
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VX0000X Obstetrics & Gynecology
Specialization: Obstetrics
01035682 IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN ANTHEM BLUE CROSS 000000082179 01
IN 100326890 05
IN PHYSICIANS HEALTH PLAN 15432 01

Office Location

Street Address 2405 W LEXINGTON AVE
City ELKHART
State IN
Zip Code 46514-1417

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417956756 Starla D Graber Obstetrics & Gynecology 2405 W Lexington Ave, Elkhart, IN 46514-1417 2005-07-19
1851743033 Samantha Wilson Nurse Practitioner 2405 W Lexington Ave, Elkhart, IN 46514-1417 2016-07-12
1215387352 River Oaks Ob/gyn Associates Nurse Practitioner 2405 W Lexington Ave, Elkhart, IN 46514-1417 2016-06-20
1487974507 Cynthia Marie Weyers Nurse Practitioner 2405 W Lexington Ave, Elkhart, IN 46514-1417 2010-06-11
1639366602 Kimberly Anne Davies Nurse Practitioner 2405 W Lexington Ave, Elkhart, IN 46514-1417 2007-10-03
1750578720 Jean Ann Inbody Nurse Practitioner 2405 W Lexington Ave, Elkhart, IN 46514-1417 2007-10-03
1487774022 Julie A Zehr Nurse Practitioner 2405 W Lexington Ave, Elkhart, IN 46514-1417 2007-03-29
1265512289 River Oaks Ob/gyn Associates, P.C. Obstetrics & Gynecology 2405 W Lexington Ave, Elkhart, IN 46514-1417 2006-10-16
1467489112 Stephen P Hollenberg Obstetrics & Gynecology 2405 W Lexington Ave, Elkhart, IN 46514-1417 2006-06-27
1285661439 Rosalie L Mcbride Obstetrics & Gynecology 2405 W Lexington Ave, Elkhart, IN 46514-1417 2006-06-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891333522 Adam Collier Nurse Anesthetist, Certified Registered 600 Elkhart Boulvard, Elkhart, IN 46514 2019-12-12
1861034688 Heart City Health Center, Inc. Obstetrics & Gynecology 1545 Cassopolis Street, Elkhart, IN 46514 2019-10-14
1982263398 Fresenius Medical Care North Elkhart, LLC Clinic/Center 801 W Bristol St, Elkhart, IN 46514 2019-06-10
1487118220 Hellenic Senior Living of Elkhart, LLC Assisted Living Facility 2528 Bypass Road, Elkhart, IN 46514 2019-01-25
1922595792 Anna Cornelia Smith Nutritionist 51803 Tall Pines Dr, Elkhart, IN 46514 2018-04-17
1114438496 Erika Lynn Farrell Counselor 3120 Suite B Windsor Court, Elkhart, IN 46514 2017-10-13
1740728948 Michael Scheretie Nurse Anesthetist, Certified Registered 52866 Wildflower Ln, Elkhart, IN 46514 2017-02-08
1821355876 Marcy Lynn Adams Nurse Practitioner 1104 W Bristol St, Elkhart, IN 46514 2012-04-16
1053694265 Paul A. Price Pharmacist 1400 Cassopolis St., Elkhart, IN 46514 2011-09-23
1528362647 Beacon Medical Group, Inc. Internal Medicine 500 Arcade Ave., Suite 400, Elkhart, IN 46514 2011-01-04
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Taxonomy Information

Taxonomy Code 207VX0000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Obstetrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417956756 Starla D Graber Obstetrics & Gynecology 2405 W Lexington Ave, Elkhart, IN 46514-1417 2005-07-19
1467489112 Stephen P Hollenberg Obstetrics & Gynecology 2405 W Lexington Ave, Elkhart, IN 46514-1417 2006-06-27
1285661439 Rosalie L Mcbride Obstetrics & Gynecology 2405 W Lexington Ave, Elkhart, IN 46514-1417 2006-06-26
1700813953 Timothy E Morgan Obstetrics & Gynecology 2405 W Lexington Ave, Elkhart, IN 46514-1417 2006-06-26
1164466520 Lorraine E Weaver Obstetrics & Gynecology 2405 W Lexington Ave, Elkhart, IN 46514-1417 2006-06-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033443106 Munster Medical Research Foundatio Obstetrics & Gynecology 3545 Arbors Street, Portage, IN 46368-4297 2009-09-23
1154468270 Daniel H Davis Obstetrics & Gynecology 2450 Northpark, Suite A, Columbus, IN 47203 2007-01-30
1528174604 Richard Lewis Hinchman Obstetrics & Gynecology 6756 Mcfarland Rd, Indianapolis, IN 46227-7718 2006-08-22
1154345775 Cindy Maiden Basinski Obstetrics & Gynecology 4199 Gateway Blvd Ste 2200, Newburgh, IN 47630-8965 2006-07-27
1427094911 Victoria L Potoczak Obstetrics & Gynecology 3618 S 4th St, Terre Haute, IN 47802-5543 2006-06-22
1376543926 Patrick A Pontee Obstetrics & Gynecology 5500 Hohman Ave, Hammond, IN 46320-1965 2005-07-26
1528623824 219 Health Network Inc Obstetrics & Gynecology 3432 169th St, Hammond, IN 46323-2542 2019-05-02
1861937419 Jennifer Irene Wakeland Bigelow Md Obstetrics & Gynecology 461 Town Center St N, Mooresville, IN 46158-2316 2017-01-05
1871974337 Functional Medicine of Carmel Inc. Obstetrics & Gynecology 755 W Carmel Dr, Suite 212, Carmel, IN 46032-5877 2015-06-10
1639566490 Olivia Higgins Obstetrics & Gynecology 550 University Blvd, Indianapolis, IN 46202-5149 2015-04-20
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Competitor

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City ELKHART
Zip Code 46514

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Dataset Information

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.

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