CARSON ELIZABETH PETTY MAYNARD (NPI# 1770929754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770929754 |
| Entity Type | Individual |
| Full Name | CARSON ELIZABETH PETTY MAYNARD |
| Credential | DO |
| Practice Address |
Geisinger Medical Ctr 100 North Academy Avenue Danville PA 17822 |
| Mailing Address |
1715 Iron Horse Dr Ste 100 Longmont CO 80501-9617 |
| Practice Telephone | 5702716211 |
| Mailing Telephone | 7204944700 |
| Mailing Fax Number | 7204944706 |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2018-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 60242 | CO | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
60242 | CO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11990 Grant St Ste 108, Northglenn, CO 802331122 | 7204944700 | 7204944706 |
| Geisinger Medical Ctr, 100 North Academy Avenue, Danville, PA 178220001 | 5702716211 |
| Street Address |
GEISINGER MEDICAL CTR 100 NORTH ACADEMY AVENUE |
| City | DANVILLE |
| State | PA |
| Zip Code | 17822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952389082 | Christopher Coppola | Surgery | Geisinger Medical Ctr, 100 N. Academy Av. Mc 21-70, Danville, PA 17822-2170 | 2006-01-09 |
| 1508392093 | Cassandra Anne Ricketts | Orthopaedic Surgery | Geisinger Medical Ctr, 100 North Academy Avenue, Danville, PA 17822-0001 | 2017-05-03 |
| 1841726593 | Theodore James | Student in an Organized Health Care Education/Training Program | Geisinger Medical Ctr, 100 North Academy Avenue, Danville, PA 17822-0001 | 2017-05-01 |
| 1972038677 | Craig Dix | Emergency Medicine | Geisinger Medical Ctr, 100 North Academy Avenue, Danville, PA 17822-0001 | 2017-05-01 |
| 1275068884 | Sasha Gorrell | Student in an Organized Health Care Education/Training Program | Geisinger Medical Ctr, 100 North Academy Avenue, Danville, PA 17822-0001 | 2017-04-21 |
| 1669906533 | Satabdi Chakrabarti Hudson | Student in an Organized Health Care Education/Training Program | Geisinger Medical Ctr, 100 North Academy Avenue, Danville, PA 17822-0001 | 2017-04-17 |
| 1265965883 | Johnny Minh Phan | Psychiatry & Neurology | Geisinger Medical Ctr, 100 North Academy Avenue, Danville, PA 17822-0001 | 2017-04-10 |
| 1316470743 | Madhuri Uppalapati | Student in an Organized Health Care Education/Training Program | Geisinger Medical Ctr, 100 North Academy Avenue, Danville, PA 17822-0001 | 2017-04-04 |
| 1376074344 | Maria Elena Golden | Psychologist | Geisinger Medical Ctr, 100 N. Academy Ave., Danville, PA 17822 | 2017-03-22 |
| 1568903912 | Harleen Sodhi | Student in an Organized Health Care Education/Training Program | Geisinger Medical Ctr, 100 North Academy Avenue, Danville, PA 17822-0001 | 2017-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366062895 | Staci Lee Benoit | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue Geisinger Medical Center, Danville, PA 17822 | 2020-04-24 |
| 1275162018 | Kristena Yossef | Student in an Organized Health Care Education/Training Program | Geisinger Medical Center, 100 North Academy Avenue, Da, Danville, PA 17822 | 2020-04-03 |
| 1003470444 | Intekhab Askari Syed Ahmad Raza | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue, Geisinger Medical Center, Danville, PA 17822 | 2019-04-30 |
| 1841766334 | Sarah Louise Dearment | Counselor | Geisinger Medical Center: Department of Psychiatry, 100 N. Academy Avenue, Danville, PA 17822 | 2018-10-23 |
| 1548753908 | Josie Pervola | Genetic Counselor, MS | 100 N Academy Ave Mc-26-20, Danville, PA 17822 | 2018-06-11 |
| 1477059350 | Martha Niemiec | Counselor | Geisinger Medical Center Department of Psychiatry, 100 North Academy Avenue, Danville, PA 17822 | 2018-04-01 |
| 1730625450 | Nir Shimony | Neurological Surgery | 100 N. Academy Ave., Geisinger Medical Center, Neurosurgery Department, Danville, PA 17822 | 2017-01-19 |
| 1164877197 | Britta Hunter | Speech-Language Pathologist | 100 N. Academy Ave., Danville, PA 17822 | 2016-04-27 |
| 1891180725 | Zach Rottmann | Internal Medicine | Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822 | 2015-03-30 |
| 1891063251 | John D Chakan | Pharmacist | 1000 S Second St, Sunbury, PA 17822 | 2011-12-13 |
| Find all providers in zip 17822 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659679959 | David Henry Bulbin | Internal Medicine | 100 N Academy Ave, Geisinger Medical Center, Danville, PA 17822-2152 | 2011-03-10 |
| 1487979407 | Emily Jean Brunner | Internal Medicine | 100 N Academy Ave, Danville, PA 17822-1334 | 2010-04-01 |
| 1215195003 | Lisa Lorrae Schroeder | Internal Medicine | 100 N Academy Ave, Danville, PA 17822-9800 | 2008-05-28 |
| 1467644435 | Sharukh Darius Shroff | Internal Medicine | 109 Bridge St Ste 300, Danville, VA 24541-1222 | 2007-08-14 |
| 1568414928 | Geisinger Clinic | Internal Medicine | 100 N Academy Ave, Danville, PA 17822-9800 | 2006-05-16 |
| 1295783629 | Dennis Torretti | Internal Medicine | 100 N Academy Ave, Danville, PA 17822-1341 | 2006-05-05 |
| 1194788976 | Eric D. Newman | Internal Medicine | 100 N Academy Ave, Danville, PA 17822-1341 | 2006-04-11 |
| 1720041676 | Thomas P. Olenginski | Internal Medicine | 100 N Academy Ave, Danville, PA 17822-1341 | 2006-04-11 |
| 1740259522 | Thomas M. Harrington | Internal Medicine | 100 N Academy Ave, Danville, PA 17822-9800 | 2006-03-15 |
| 1760458913 | Duane E. Davis | Internal Medicine | 100 N Academy Ave, Danville, PA 17822-1341 | 2006-02-27 |
| Find all providers in DANVILLE | ||||
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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.