Maranda Jaran Fain (NPI# 1265085633, PAC ID# 6002248630) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1265085633 |
| PAC ID by PECOS | 6002248630 |
| Professional Enrollment ID | I20191119002910 |
| Full Name | Maranda Jaran Fain |
| Organization Legal Name | MONTGOMERY CARDIOVASCULAR ASSOCIATES, P.C. |
| Address |
273 Winton M Blount Loop Montgomery AL 36117-3507 |
| Phone Number | 3342801500 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1557258761 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010149 | BAPTIST MEDICAL CENTER EAST |
| 010023 | BAPTIST MEDICAL CENTER SOUTH |
| Address | Phone | Organization |
|---|---|---|
| 273 Winton M Blount Loop, Montgomery, AL 36117-3507 | 3342801500 | MONTGOMERY CARDIOVASCULAR ASSOCIATES, P.C. |
| Organization Legal Name | MONTGOMERY CARDIOVASCULAR ASSOCIATES, P.C. |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sushant Khaire | Interventional Cardiology | Montgomery Cardiovascular Associates, P.C. | 273 Winton M Blount Loop, Montgomery, AL 36117-3507 |
| Richard E Crum | Interventional Cardiology | Montgomery Cardiovascular Associates, P.C. | 2119 E S Blvd, Montgomery, AL 36116-2409 |
| Wynne Crawford | Cardiac Electrophysiology | Montgomery Cardiovascular Associates, P.C. | 1414 Elba Hwy, Troy, AL 36079-6020 |
| Justin William Smith | Cardiac Electrophysiology | Montgomery Cardiovascular Associates, P.C. | 2119 E S Blvd, Montgomery, AL 36116-2409 |
| Paul B Moore | Interventional Cardiology | Montgomery Cardiovascular Associates, P.C. | 2119 E S Blvd, Montgomery, AL 36116-2409 |
| Scott W Sims | Cardiovascular Disease (cardiology) | Montgomery Cardiovascular Associates, P.C. | 2119 E S Blvd, Montgomery, AL 36116-2409 |
| Barbara Vann Thompson | Nurse Practitioner | Montgomery Cardiovascular Associates, P.C. | 273 Winton M Blount Loop, Montgomery, AL 36117-3507 |
| Lindsey Saunders | Nurse Practitioner | Montgomery Cardiovascular Associates, P.C. | 2119 E S Blvd, Montgomery, AL 36116-2409 |
| Nicholas S Howell | Physician Assistant | Montgomery Cardiovascular Associates, P.C. | 2119 E S Blvd, Montgomery, AL 36116-2409 |
| William Blake Hubert | Nurse Practitioner | Montgomery Cardiovascular Associates, P.C. | 2119 E S Blvd, Montgomery, AL 36116-2409 |
| Street Address |
273 WINTON M BLOUNT LOOP |
| City | MONTGOMERY |
| State | AL |
| Zip | 36117-3507 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sushant Khaire | Interventional Cardiology | Montgomery Cardiovascular Associates, P.C. | 273 Winton M Blount Loop, Montgomery, AL 36117-3507 |
| Barbara Vann Thompson | Nurse Practitioner | Montgomery Cardiovascular Associates, P.C. | 273 Winton M Blount Loop, Montgomery, AL 36117-3507 |
| Lauren Studdard | Nurse Practitioner | Montgomery Cardiovascular Associates, P.C. | 273 Winton M Blount Loop, Montgomery, AL 36117-3507 |
| Jennifer Moore | Nurse Practitioner | Montgomery Cardiovascular Associates, P.C. | 273 Winton M Blount Loop, Montgomery, AL 36117-3507 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam P Vogt | Pathology | Alabama Pathology Associates | 225 B Winton Blount Loop, Montgomery, AL 36117 |
| Pervaiz Ahmed Malik | Cardiovascular Disease (cardiology) | River Region Cardiology Associates, PC | 185 Mitylene Park Lane, Montgomery, AL 36117 |
| Lemuel D Gorden | Pathology | Alabama Pathology Associates | 225 B Winton Blount Loop, Montgomery, AL 36117 |
| Edward Benak | Pathology | Alabama Pathology Associates | 225 B Winton Blount Loop, Montgomery, AL 36117 |
| Mohammad L Ahmed | Cardiovascular Disease (cardiology) | River Region Cardiology Associates, PC | 185 Mitylene Park Lane, Montgomery, AL 36117 |
| Eric Bixby | Pathology | Alabama Pathology Associates | 225 B Winton Blount Loop, Montgomery, AL 36117 |
| Mobeen Rehman | Cardiovascular Disease (cardiology) | River Region Cardiology Associates, PC | 185 Mitylene Park Lane, Montgomery, AL 36117 |
| Wasiq Faraz Rawasia | Interventional Cardiology | River Region Cardiology Associates, PC | 185 Mitylene Park Lane, Montgomery, AL 36117 |
| Anna O Greene | Nurse Practitioner | River Region Cardiology Associates, PC | 185 Mitylene Park Lane, Montgomery, AL 36117 |
| Timothy Clark Barrowman | Pathology | Alabama Pathology Associates | 225 B Winton Blount Loop, Montgomery, AL 36117 |
| Find all physicians in zip 36117 | |||
| City | MONTGOMERY |
| Zip Code | 36117 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MONTGOMERY + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.