DR. MICHAEL SCOTT MAYRON (NPI# 1790788834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790788834 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL SCOTT MAYRON |
| Credential | M.D. |
| Practice Address |
1998 Barrett Ct Ste A Henderson KY 42420-2668 |
| Practice Telephone | 2708309872 |
| Practice Fax Number | 2708308332 |
| Mailing Telephone | 2708309872 |
| Mailing Fax Number | 2708308332 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2015-04-24 |
| NPI Deactivation Date | 03/15/2006 |
| NPI Reactivation Date | 2006-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
34437 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64344377 | 05 | |
| KY | KY ANTHEM NUMBER | 000000069390 | 01 |
| Street Address |
1998 BARRETT CT STE A |
| City | HENDERSON |
| State | KY |
| Zip Code | 42420-2668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174136337 | Virtual Consult Md LLC | Psychiatry & Neurology | 2202 Hwy 41 North, Unit E 152, Hendereson, KY 42420 | 2020-08-27 |
| 1679062731 | Maranda Wortham Miles | Nurse Practitioner | 2242 Hwy 41 North, Henderson, KY 42420 | 2018-05-04 |
| 1780124297 | Lisa Lovell | Nurse Practitioner | 230 North Green Street, Henderson, KY 42420 | 2017-03-02 |
| 1437540614 | Kala Hovermale | Social Worker | 220 2nd Street Ste 406, Henderson, KY 42420 | 2015-02-10 |
| 1972991537 | Jessica Thomas | Counselor | 230 Second St, Suite 406, Henderson, KY 42420 | 2015-01-06 |
| 1255690962 | Green River District Health Department | Public Health or Welfare | 631 N. Green Street, Henderson, KY 42420 | 2012-05-15 |
| 1588922769 | Jonathan M Mosley | Family Medicine | 1200 Barrett Blvd, Henderson, KY 42420 | 2012-04-25 |
| 1093099731 | Gregory Ayuk | Pharmacist | 402 Second Street, Henderson, KY 42420 | 2011-09-29 |
| 1437488137 | Peter J. Doll, D.p.m. | Durable Medical Equipment & Medical Supplies | 323 8th St., Henderson, KY 42420 | 2009-12-09 |
| 1760626402 | Linda Dalton Keith | Nurse Practitioner | 1704 2nd St, Henderson, KY 42420 | 2009-04-24 |
| Find all providers in zip 42420 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114547726 | Lifespan Behavioral Health Nevada PC | Psychiatry & Neurology | 2505 Anthem Village Dr Ste E-508, Henderson, NV 89052-5505 | 2020-04-23 |
| 1760612659 | Watcharasarn Rattananan | Psychiatry & Neurology | 201 S Gibson Rd Apt 1208, Henderson, NV 89012-2660 | 2009-07-25 |
| 1780846303 | Tamer Ammar | Psychiatry & Neurology | 10001 S Eastern Ave Ste 200, Henderson, NV 89052-3908 | 2008-06-25 |
| 1104020700 | Rajani Ruth Caesar | Psychiatry & Neurology | 100 Zeid Blvd Ste B, Henderson, TX 75652-6069 | 2007-06-14 |
| 1124239116 | Romina Shirka | Psychiatry & Neurology | 824 Loch Katrine Ave, Henderson, NV 89012-5732 | 2007-05-24 |
| 1225101330 | Innotiv Germin | Psychiatry & Neurology | 1691 W Horizon Ridge Pkwy, #100, Henderson, NV 89012-3494 | 2006-11-16 |
| 1013928886 | Leo R Germin | Psychiatry & Neurology | 1691 West Horizon Ridge Parkway, Henderson, NV 89012-3494 | 2006-08-10 |
| 1912951252 | Munther S Tabet Md Pa | Psychiatry & Neurology | 120 Charles Rollins Road, Suite 101, Henderson, NC 27536 | 2006-05-20 |
| 1396708434 | Munther S. Tabet | Psychiatry & Neurology | 120 Charles Rollins Rd, Suite 101, Henderson, NC 27536 | 2006-04-10 |
| 1861474181 | Santos H Yu | Psychiatry & Neurology | 2430 W Horizon Ridge Pkwy, Henderson, NV 89052-2648 | 2005-11-14 |
| Find all providers in HENDERSON | ||||
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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.