PENELOPE MAYNARD (NPI# 1558333450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558333450 |
| Entity Type | Individual |
| Full Name | PENELOPE MAYNARD |
| Credential | M.D. |
| Practice Address |
760 East Ave Suite A Pensacola FL 32508-5136 |
| Practice Telephone | 8504528970 |
| Practice Fax Number | 8504528978 |
| Mailing Telephone | 8504528970 |
| Mailing Fax Number | 8504528978 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | C-5264 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
760 EAST AVE SUITE A |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32508-5136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346220399 | Kirsten Ann Wisniakowski | Dentist | 760 East Ave, Bldg 3911, Pensacola, FL 32508-5136 | 2006-01-18 |
| 1679047195 | Kai Marcus Greene | General Practice | 760 East Ave, Pensacola, FL 32508-5136 | 2019-01-17 |
| 1225524580 | Andrew Kalman | Dentist | 760 East Ave, Pensacola, FL 32508-5136 | 2018-07-10 |
| 1306273495 | Elias Daniel Gonzalez | Dentist | 760 East Ave, Pensacola, FL 32508-5136 | 2013-10-03 |
| 1831530013 | Bridgette Marie Seales | Physician Assistant | 760 East Ave, Pensacola, FL 32508-5136 | 2013-07-16 |
| 1457582579 | Rachel Lynn Wilson | Contractor | 760 East Ave, Pensacola, FL 32508-5136 | 2009-08-06 |
| 1376733527 | Branch Medical Clinic Nattc | Clinic/Center | 760 East Ave, Pensacola, FL 32508-5140 | 2007-07-25 |
| 1093934440 | Michael Leonard Connor | Psychologist | 760 East Ave, Bldg 3911, Pensacola, FL 32508-5136 | 2007-04-24 |
| 1912004763 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 760 East Ave, Bldg 3911 Ste A, Pensacola, FL 32508-5136 | 2006-09-20 |
| 1588777106 | Wang S Ohm | Dentist | 760 East Ave, Pensacola, FL 32508-5136 | 2006-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851598510 | Matthew Henry Hoefer | Preventive Medicine | Naval Aerospace Medical Institute- Code 33, 340 Hulse Road, Pensacola, FL 32508 | 2007-06-27 |
| 1891917035 | Lillie Olivia Johnson | Social Worker | Fleet and Family Support Center Building 625 Nas, 151 Ellyson Ave, Pensacola, FL 32508 | 2007-05-03 |
| 1033272372 | Andrew P Doan | Ophthalmology | Naval Aerospace Medicine Institute, 340 Hulse Road, Pensacola, FL 32508 | 2006-12-18 |
| 1689601361 | Bruce Allan Waterman | Emergency Medicine | Nmotc, 220 Hovey Rd, Pensacola, FL 32508 | 2006-06-27 |
| 1346203601 | Richard Alan Beane | Preventive Medicine | 320 Hovey Rd, Naval Air Station Pensacola, Pensacola, FL 32508 | 2006-04-08 |
| 1629040837 | Juan C. Dapena | Family Medicine | 220 Hovey Rd Bldg 488, Pensacola, FL 32508 | 2006-02-02 |
| 1417935586 | Kimberly Kay Gullickson | Audiologist | 450 Turner Street, Branch Health Clinic Naval Air Station, Pensacola, FL 32508 | 2006-01-09 |
| 1164419578 | Michael Matthew Jacobs | Family Medicine | 340 Hulse Road, Naval Aerospace Medical Institute (nami), Pensacola, FL 32508 | 2005-09-30 |
| 1679917033 | Lawrence Coronel Jimenez | Military Health Care Provider | 760 East Ave Bldg 3911, Pensacola, FL 32508 | 2013-04-28 |
| 1215276191 | Hoyt Harris Reynolds | General Practice | 450 Turner St, Naval Air Station Pensacola Branch Health Clinic, Pensacola, FL 32508 | 2013-02-12 |
| Find all providers in zip 32508 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851939813 | Cher Lakeesha Nix | General Practice | 1820 W De Soto St, Pensacola, FL 32501-6432 | 2019-12-20 |
| 1386012896 | Anil Kumar Raj | General Practice | 40 S Alcaniz St, Pensacola, FL 32502-6008 | 2015-09-14 |
| 1609267475 | Stephen C. Lott, Psy.d. LLC | General Practice | 105 E Gregory Sq, Suite G, Pensacola, FL 32502-4971 | 2015-02-13 |
| 1871831958 | Peter Christian Delevett | General Practice | 131 W Intendencia St, Pensacola, FL 32502-5708 | 2013-01-23 |
| 1518282417 | Timothy Duane Brooks | General Practice | 4806 Rosemont Pl, Pensacola, FL 32514-7909 | 2010-04-02 |
| 1104063023 | Widalys Santiago Miranda | General Practice | 140 W Government St, Pensacola, FL 32502-5703 | 2009-01-14 |
| 1699956730 | Tim J Gallagher | General Practice | 382 Gulfview Ln, Pensacola, FL 32507-7840 | 2007-11-16 |
| 1750437497 | Minh Cong Pham | General Practice | 2812 W Cervantes St, Pensacola, FL 32505-7159 | 2007-01-26 |
| 1336218023 | Kenric Turingan Aban | General Practice | 2325 Aegean Ter, Pensacola, FL 32503-5854 | 2006-11-07 |
| 1396838090 | Lieng Kim Du | General Practice | 907 North U Street, Pensacola, FL 32505 | 2006-10-02 |
| Find all providers in PENSACOLA | ||||
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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.