KENRIC ALLEN MAYNOR


Address: 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027
Phone: 5708267300

KENRIC ALLEN MAYNOR (NPI# 1831148931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831148931
Entity Type Individual
Full Name KENRIC ALLEN MAYNOR
Credential M.D., M.P.H.
Practice Address 1000 E Mountain Dr
Wilkes Barre
PA 18711-0027
Mailing Address 129 Huckleberry Dr
Duryea
PA 18642-1153
Practice Telephone 5708267300
Mailing Telephone 5708267300
Mailing Fax Number 5708195647
Enumeration Date 2006-05-08
Last Update Date 2020-08-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208M00000X Hospitalist D62818 MD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MD 408307500 05

Office Location

Street Address 1000 E MOUNTAIN DR
City WILKES BARRE
State PA
Zip Code 18711-0027

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629077185 Martha A. Danon Radiology 1000 E Mountain Dr, Wilkes Barre, PA 18711 2005-07-18
1336759984 Deanne Angela Walters Nurse Practitioner 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 2020-08-07
1982213062 Erin Leigh Dougherty Physician Assistant 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 2020-07-24
1013525179 Chelsea Lynn Lopatka Nurse Practitioner 1000 E Mountain Dr, Wilkes Barre, PA 18711-0001 2020-07-15
1467060483 Preston Benjamin Setzer Pharmacist 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 2020-07-15
1295382554 Carol Teets Nurse Practitioner 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 2019-08-21
1417501941 Krushna Shah Pharmacist 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 2019-08-01
1790269660 Samantha Marie Weiksner Pharmacist 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 2018-09-18
1356825244 Michelle Jeanne Butcher Pharmacist 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 2018-09-18
1467932863 Arthur Jankowski Pharmacist 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 2018-08-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467924274 Leeann Kayal Nurse Practitioner 111 East End Boulevard, Wilkes Barre, PA 18711 2018-12-19
1336661701 Patricia Dworak Occupational Therapist 1175 East Mountain Boulevard, Wilkes-barre, PA 18711 2017-07-07
1992160352 Hope Danishanko Social Worker 111 East End Blvd, Wilkes Barre, PA 18711 2015-12-29
1477962785 Jennifer L. Heck Physical Therapist 1140 Route 315, Suite 207, Wilkes-barre, PA 18711 2014-08-12
1821338807 Melinda Flaim Physical Therapist 1555 East End Blvd, Wilkes Barre, PA 18711 2013-02-27
1598900953 Elizabeth Patricia Keating Pharmacist 1000 East Mountain Drive, Wilkes Barre, PA 18711 2008-12-12
1457433294 Christopher William O'brien Specialist/Technologist King's College, 133 North River Street, Wilkes-barre, PA 18711 2006-10-20
1821197450 Louis Jay Freedman Obstetrics & Gynecology Valley Medical Building, 3rd Floor, 1010 East Mountain Boulevard, Wilkes-barre, PA 18711 2006-09-21
1730282625 Natalia N Belikova Internal Medicine 1111 East End Boulvard, Wilkesbarre, PA 18711 2006-09-06
1609883628 Va Medical Center General Acute Care Hospital 1111 East End Blvd., Wilkes-barre, PA 18711 2006-08-02
Find all providers in zip 18711

Taxonomy Information

Taxonomy Code 208M00000X
Grouping Allopathic & Osteopathic Physicians
Classification Hospitalist

Taxonomy Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740703222 Kartik Dhaduk Hospitalist 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2017-07-17
1770010498 Mohamed Hassan Hospitalist 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2017-05-12
1801329453 Eric Drago Hospitalist 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2017-04-10
1184087397 Jane Viernes Hospitalist 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2016-04-04
1598127821 Connor Dougherty Hospitalist 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2016-03-25
1497116826 Maria L. Shiptoski Hospitalist 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2016-03-12
1679933394 Advanced Inpatient Palliative Medicine PC Hospitalist 575 N River St, Wilkes Barre, PA 18764-0999 2016-02-24
1215304845 Siddhartha Yedla Hospitalist 1000 E Mountain Blvd, Wilkes Barre, PA 18711 2015-08-31
1174907687 Shaylika Chauhan Hospitalist 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2015-07-14
1104208628 Syed Zaman Hospitalist 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2015-06-20
Find all providers in WILKES BARRE

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City WILKES BARRE
Zip Code 18711

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Dataset Information

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.

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