KATHERINE ANN MAYNE (NPI# 1881762383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881762383 |
| Entity Type | Individual |
| Full Name | KATHERINE ANN MAYNE |
| Other Name | MISS KATHERINE ANN FIELDS |
| Credential | A.R.N.P. |
| Practice Address |
158b E Sunset Dr Medford OK 73759-2401 |
| Mailing Address |
Po Box 960068 Oklahoma City OK 73196-0001 |
| Practice Telephone | 5803952319 |
| Practice Fax Number | 5803952551 |
| Mailing Telephone | 5805481367 |
| Mailing Fax Number | 5805481583 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2009-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R0081887 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200109260A | 05 |
| Street Address |
158B E SUNSET DR |
| City | MEDFORD |
| State | OK |
| Zip Code | 73759-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730180894 | Integris Bass Baptist Health Center | Family Medicine | 158b E Sunset Dr, Medford, OK 73759-2401 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457374332 | Servant Living Center - Medford LLC | Nursing Facility/Intermediate Care Facility | 616 S Front Street, Medford, OK 73759 | 2006-07-25 |
| 1699025973 | Great Salt Plains Health Center, Inc. | Family Medicine | 619 Front Street, Medford, OK 73759-1209 | 2012-09-14 |
| 1235236175 | Kennedy Drug Co | Pharmacy | 107 E Cherokee St, Medford, OK 73759-1209 | 2006-09-20 |
| 1194072363 | Hughes Pharmacy LLC | Pharmacy | 107 E Cherokee St, Medford, OK 73759-1209 | 2012-08-07 |
| 1891945812 | Amy Holmes Medical Services Plc | Family Medicine | 102 E Cherokee, Medford, OK 73759-1210 | 2008-09-26 |
| 1407049307 | Jonathan D. Wren D.c. | Chiropractor | 104 N Main St, Medford, OK 73759-1232 | 2007-08-23 |
| 1598960015 | Associated Therapeutic Services, PC | Counselor | 114 N Main St, Medford, OK 73759-1232 | 2007-06-15 |
| 1881736577 | Medford Public School | Public Health or Welfare | 301 N Main St, Medford, OK 73759-1234 | 2007-02-12 |
| 1225025455 | Michael F Flanagan, Receiver for Medfors Nursing Home | Skilled Nursing Facility | 616 S Front St, Medford, OK 73759-1714 | 2005-10-03 |
| 1891110797 | Robertson Health Care LLC | Skilled Nursing Facility | 616 S Front St, Medford, OK 73759-1714 | 2014-02-28 |
| Find all providers in zip 73759 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1770005407 | Suzanne Ellen Sanderson | Nurse Practitioner | 2620 E Barnett Rd Ste H, Medford, OR 97504-8383 | 2017-07-14 |
| 1194189902 | Josephine Magpantay Gaviola | Nurse Practitioner | 101 Main St Ste 116, Medford, MA 02155-4530 | 2016-04-07 |
| 1033514286 | Lauren E Hodgdon | Nurse Practitioner | 1698 E Mcandrews Rd Ste 200, Medford, OR 97504 | 2014-10-30 |
| 1962820209 | Jessica Anne Marie Gunn | Nurse Practitioner | 21 Ohio Trl, Medford, NJ 08055-8931 | 2014-04-03 |
| 1912333451 | Travis Adam Day | Nurse Practitioner | 70 Bower Dr Ste 110, Medford, OR 97501-3689 | 2013-09-16 |
| 1184058703 | Ashley Riley | Nurse Practitioner | 101 Main St Ste 107, Medford, MA 02155-4530 | 2013-08-30 |
| 1578841169 | Shannon Jamerson | Nurse Practitioner | 619 N Front St, Medford, OK 73759-2704 | 2011-07-29 |
| 1891081113 | Debra Jeanne Zenner | Nurse Practitioner | 143 South Gibson St., Medford, WI 54451 | 2011-06-24 |
| 1366763336 | Edward William Walton | Nurse Practitioner | 2 Pinecrest Dr, Medford, NJ 08055-8513 | 2010-06-14 |
| Find all providers in MEDFORD | ||||
Please comment or provide details below to improve the information on KATHERINE ANN MAYNE.
| 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.