DR. GEORGE MAXYMIV (NPI# 1891774451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891774451 |
| Entity Type | Individual |
| Full Name | DR. GEORGE MAXYMIV |
| Credential | MD |
| Practice Address |
1802 Braeburn Dr Salem VA 24153-7357 |
| Practice Telephone | 5407723520 |
| Practice Fax Number | 5407725975 |
| Mailing Telephone | 5407723520 |
| Mailing Fax Number | 5407725975 |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2007-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
0101031576 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE RAILROAD | P00290772 | 01 |
| Street Address |
1802 BRAEBURN DR |
| City | SALEM |
| State | VA |
| Zip Code | 24153-7357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134121338 | Mark R Hanabury Jr. | Specialist | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2005-06-01 |
| 1841851433 | Grace Julia Valiulis | Physician Assistant | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2019-06-24 |
| 1083279376 | Olivia Jayne Darwin | Physician Assistant | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2019-05-02 |
| 1487166088 | Christopher Cutchin Coulter | Nurse Practitioner | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2017-11-04 |
| 1063946358 | Kimberly Charise Martin | Nurse Practitioner | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2017-04-13 |
| 1699215434 | Shannon Michelle Snyder | Physician Assistant | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2017-02-27 |
| 1255875589 | Sarah Markwood | Nurse Practitioner | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2016-12-06 |
| 1437506789 | Nicole Crowder | Registered Nurse | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2016-05-17 |
| 1508228669 | Mohammed Abdul Khadar Siddiqui | Pediatrics | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2016-03-28 |
| 1851757629 | Alisha O Lipes | Physician Assistant | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2016-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
| 1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
| 1134607898 | Renew Psychiatry Services | Psychiatry & Neurology | 177 Electric Rd, Salem, VA 24153 | 2018-08-03 |
| 1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
| 1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
| 1154729051 | Allison Marie Parry | Physician Assistant | 1336 W Main St., Salem, VA 24153 | 2014-12-09 |
| 1598199457 | Stacy Stanley | Occupational Therapy Assistant | 4812 Moore Rd, Salem, VA 24153 | 2013-08-28 |
| 1366888034 | Dolores Hager | Speech-Language Pathologist | 1851 Harrogate Dr, Salem, VA 24153 | 2013-05-21 |
| 1073850764 | Joel Aaron Nickerson | Specialist/Technologist | 400 Spartan Dr., Salem High School, Salem, VA 24153 | 2013-01-15 |
| 1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
| Find all providers in zip 24153 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659754257 | Shuja U Saleem, M.d. | Obstetrics & Gynecology | 23 Stiles Rd., #217, Salem, NH 03079 | 2015-07-01 |
| 1033113055 | Jonathan Edward Pugmire | Obstetrics & Gynecology | 633 Jason St Ne, Salem, OR 97301-2750 | 2005-06-08 |
| 1114921103 | Duane Gary Beard | Obstetrics & Gynecology | 700 Bellevue St Se, #245, Salem, OR 97301-3891 | 2005-06-08 |
| 1184917775 | Andrea Chisholm Md LLC | Obstetrics & Gynecology | 55 Highland Ave Ste 103, Salem, MA 01970-2100 | 2011-05-16 |
| 1124151287 | Shuja U Saleem | Obstetrics & Gynecology | 31 Stiles Rd, Suite 2100, Salem, NH 03079-2897 | 2007-03-14 |
| 1053494294 | Deborah M Johnson | Obstetrics & Gynecology | 1395 Liberty St Se, Salem, OR 97302-4276 | 2006-10-23 |
| 1912937228 | Sara E Perez-torres | Obstetrics & Gynecology | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2006-07-03 |
| 1134108756 | Mark Gustafson | Obstetrics & Gynecology | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2006-01-12 |
| 1407833346 | Michael Andrew Murphy | Obstetrics & Gynecology | 875 Oak St Se, Suite 5090, Salem, OR 97301-3975 | 2005-12-30 |
| 1184601593 | Thomas A Kahan | Obstetrics & Gynecology | 700 Bellevue St Se, Ste 245, Salem, OR 97301-3891 | 2005-12-28 |
| Find all providers in SALEM | ||||
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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.