DR. JOHN MAURICE MAHAN (NPI# 1558652693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558652693 |
| Entity Type | Individual |
| Full Name | DR. JOHN MAURICE MAHAN |
| Credential | M.D. |
| Practice Address |
140 S Holly St Medford OR 97501-3113 |
| Practice Telephone | 5417748201 |
| Practice Fax Number | 5417747979 |
| Mailing Telephone | 5417748201 |
| Mailing Fax Number | 5417747979 |
| Enumeration Date | 2011-04-24 |
| Last Update Date | 2017-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD176522 | OR | Allopathic & Osteopathic Physicians |
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
MD176522 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609815125 | John P Mahan | Internal Medicine | 1000 Floral Vale Blvd, Suite 125, Yardley, PA 19067-5569 | 2006-06-06 |
| 1780665174 | John T Mahan | Orthopaedic Surgery | 1741 Midland Trl, Shelbyville, KY 40065-1711 | 2005-11-11 |
| 1023002417 | John Donald Mahan | Pediatrics | 555 S 18th St, Columbus, OH 43205-2654 | 2005-08-31 |
| 1346241296 | John W Mahan IIi | Internal Medicine | 1101 26th St S, Great Falls, MT 59405-5161 | 2005-08-02 |
| Street Address |
140 S HOLLY ST |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710087333 | Elizabeth Ann Pischel | Advanced Practice Midwife | 140 S Holly St, Greentree, Medford, OR 97501-3113 | 2006-09-24 |
| 1518564434 | Melissa Olena Zivanov | Counselor | 140 S Holly St, Medford, OR 97501-3113 | 2020-10-04 |
| 1396351730 | Dana Alexzandria Bogdanove | Peer Specialist | 140 S Holly St, Medford, OR 97501-3113 | 2020-09-21 |
| 1508483405 | Justin Karl Sacco | Peer Specialist | 140 S Holly St, Medford, OR 97501-3113 | 2020-06-26 |
| 1487279402 | Autumn Jewel Doshier | Counselor | 140 S Holly St, Medford, OR 97501-3113 | 2020-06-15 |
| 1275156564 | Mayela Villa | Peer Specialist | 140 S Holly St, Medford, OR 97501-3113 | 2020-05-21 |
| 1801435243 | Jeanelle Kline | Counselor | 140 S Holly St, Medford, OR 97501-3113 | 2020-01-02 |
| 1255983979 | Griselda C Veloz | Nurse's Aide | 140 S Holly St, Medford, OR 97501-3113 | 2019-07-12 |
| 1164084497 | Martha Griselda Rodriguez | Peer Specialist | 140 S Holly St, Medford, OR 97501-3113 | 2019-07-08 |
| 1083179121 | Anthony Kahaly | Counselor | 140 S Holly St, Medford, OR 97501-3113 | 2019-02-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
| 1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
| 1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
| 1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
| Find all providers in zip 97501 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922574326 | Emily G Wilkins | Psychiatry & Neurology | 239 Taunton, A-2, Medford, NJ 08055 | 2018-10-23 |
| 1215447008 | Jacqueline Amato, Md PC | Psychiatry & Neurology | 841 Alder Creek Dr, Medford, OR 97504-8900 | 2017-10-05 |
| 1982069357 | Ferguson and Pitch Tms Medical Associates Pllc | Psychiatry & Neurology | 1739-a North Ocean Ave, Medford, NY 11763-2683 | 2015-12-29 |
| 1295175347 | Nicole Shirvani | Psychiatry & Neurology | 691 Murphy Rd Ste 218, Medford, OR 97504-4311 | 2013-07-02 |
| 1487908927 | Jeffrey D. Thompson, Md, PC | Psychiatry & Neurology | 18 Myrtle St Ste 102, Medford, OR 97504-7471 | 2012-11-06 |
| 1033404785 | Akshar Health Associates, LLC | Psychiatry & Neurology | 15 Somerton Sq, Medford, NJ 08055-3366 | 2011-06-10 |
| 1073835377 | Center for Senior Wellness, Francis R. Murphy, M.d., LLC | Psychiatry & Neurology | 105 Atsion Rd Unit H, Medford, NJ 08055-1352 | 2010-02-27 |
| 1821257841 | Gail Alexander | Psychiatry & Neurology | 1005 East Main St, Medford, OR 97504 | 2008-06-05 |
| 1881868933 | Margo Christiane Funk | Psychiatry & Neurology | 691 Murphy Rd, Suite 218, Asante Physician Partners, Medford, OR 97504 | 2008-04-19 |
| 1902003080 | Sunny Kim | Psychiatry & Neurology | 503 Airport Rd Ste 101, Medford, OR 97504-4159 | 2007-07-02 |
| Find all providers in MEDFORD | ||||
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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.