JOHNNY MAO, MD PC (NPI# 1467936831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467936831 |
Entity Type | Organization |
Organization Name | JOHNNY MAO, MD PC |
Practice Address |
200 S Orange Center Rd Orange CT 06477-3349 |
Practice Telephone | 2039070501 |
Practice Fax Number | 2039070503 |
Mailing Telephone | 2039070501 |
Mailing Fax Number | 2039070503 |
Enumeration Date | 2018-09-20 |
Last Update Date | 2018-09-20 |
Authorized Official Name | DR. JOHNNY MAO (PRESIDENT) |
Authorized Official Telephone | 2039070501 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Mao Facial Plastic Surgery | Doing Business As Name - Organization |
Street Address |
200 S ORANGE CENTER RD |
City | ORANGE |
State | CT |
Zip Code | 06477-3349 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659546323 | Richard Restifo, Md PC | Plastic Surgery | 200 S Orange Center Rd, Orange, CT 06477-3349 | 2008-04-24 |
1154665545 | Amanda Linn Paradiso | Physician Assistant | 200 S Orange Center Rd, Orange, CT 06477-3349 | 2012-11-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881207207 | Kevin Cheung | Registered Nurse | 499 West Campus Drive, Orange, CT 06477 | 2020-08-25 |
1629539051 | Leah Kragh | Occupational Therapist | 308 Racebrook Road, Unit A, Orange, CT 06477 | 2019-03-28 |
1871076315 | Mario Paredes | Physical Therapist | 240 Indian River Rd Ste B7b8, Orange, CT 06477 | 2018-09-11 |
1790201499 | Amy Elise Roth | Speech-Language Pathologist | 308 Racebrook Road, Orange, CT 06477 | 2017-08-15 |
1720435092 | Eric Han | Obstetrics & Gynecology | 100 West Campus Drive, Orange, CT 06477 | 2016-05-17 |
1467838730 | Dr. Margaret Azzarella LLC | Chiropractor | 472 Boston Post Road, Orange, CT 06477 | 2015-08-10 |
1790114866 | The Eye Care Group | Eyewear Supplier (Equipment, not the service) | 250 Indian River Road, Orange, CT 06477 | 2013-11-08 |
1609111814 | Michael L Crane | Counselor | 426 Taulman Rd, Orange, CT 06477 | 2012-11-29 |
1316183726 | Sarah E Halloran | Physician Assistant | 240 Indian River Rd Ste B1, Orange, CT 06477 | 2009-01-07 |
1558482075 | Jasdeep Sidana | Internal Medicine | 521 Boston Post Road, Orange, CT 06477 | 2007-04-02 |
Find all providers in zip 06477 |
Taxonomy Code | 207YS0123X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Facial Plastic Surgery |
An otolaryngologist who specializes in facial plastic surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073545968 | William Clay Cohen | Otolaryngology | 2501 E. Chapman Ave., Suite 401, Orange, CA 92869 | 2006-07-07 |
1548407455 | Simon Madorsky M.d A Medical Corporation | Otolaryngology | 1140 W La Veta Ave, Suite 515, Orange, CA 92868-4223 | 2009-01-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821329327 | Robert Emmett Mccarthy | Otolaryngology | 50 Bartman Rd, Higganum, CT 06441-4415 | 2010-01-22 |
1659549624 | Larry M Marcus, Md, Facs | Otolaryngology | 255 N Main St, Bristol, CT 06010-4972 | 2008-02-13 |
1881880813 | Sharon Ear, Nose and Throat, PC | Otolaryngology | 29 Hospital Hill Rd, Suite 1900, Sharon, CT 06069-2095 | 2007-09-24 |
1780734608 | Neil Alan Gordon | Otolaryngology | 539 Danbury Rd, Wilton, CT 06897-2216 | 2007-01-11 |
1861560922 | Eastern Connecticut Ear, Nose & Throat PC | Otolaryngology | 36 Watson St, Willimantic, CT 06226-2122 | 2006-11-30 |
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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.