Larry Omar Maggard (NPI# 1184140907, PAC ID# 6800169715) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1184140907 |
| PAC ID by PECOS | 6800169715 |
| Professional Enrollment ID | I20170828004692 |
| Full Name | Larry Omar Maggard |
| Organization Legal Name | MERCY HEALTH CLINICS,LLC |
| Address |
1100 Richmond Rd Irvine KY 40336-7231 |
| Phone Number | 6067237706 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2466592688 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 181301 | MARCUM AND WALLACE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1025 Grand Ave, Beattyville, KY 41311-9078 | 6064648806 | MERCY HEALTH CLINICS,LLC |
| 1100 Richmond Rd, Irvine, KY 40336-7231 | 6067237706 | MERCY HEALTH CLINICS,LLC |
| Organization Legal Name | MERCY HEALTH CLINICS,LLC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alyssa C Estes | Nurse Practitioner | Mercy Health Clinics,llc | 1049 Hwy 11 N, Beattyville, KY 41311-9240 |
| Rebekah Lynn Mattingly | Nurse Practitioner | Mercy Health Clinics,llc | 749 Irvine Rd, Clay City, KY 40312-9732 |
| Dustin C Wattenberger | Nurse Practitioner | Mercy Health Clinics,llc | 1100 Richmond Rd, Irvine, KY 40336-7231 |
| Heather R Price | Nurse Practitioner | Mercy Health Clinics,llc | 1025 Grand Ave, Beattyville, KY 41311-9078 |
| Mary Jane Doyle | Nurse Practitioner | Mercy Health Clinics,llc | 1100 Richmond Rd, Irvine, KY 40336-7231 |
| Pamela Jones | Nurse Practitioner | Mercy Health Clinics,llc | 1100 Richmond Rd, Irvine, KY 40336-7231 |
| Kemberly J Spencer | Nurse Practitioner | Mercy Health Clinics,llc | 1100 Richmond Rd, Irvine, KY 40336-7231 |
| Billie J Kelley | Nurse Practitioner | Mercy Health Clinics,llc | 1100 Richmond Rd, Irvine, KY 40336-7231 |
| Adam Tyler Mcintosh | Nurse Practitioner | Mercy Health Clinics,llc | 1025 Grand Ave, Beattyville, KY 41311-9078 |
| Julie R Kennon | Family Medicine | Mercy Health Clinics,llc | 749 Irvine Rd, Clay City, KY 40312-9732 |
| Street Address |
1100 RICHMOND RD |
| City | IRVINE |
| State | KY |
| Zip | 40336-7231 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dustin C Wattenberger | Nurse Practitioner | Mercy Health Clinics,llc | 1100 Richmond Rd, Irvine, KY 40336-7231 |
| Mary Jane Doyle | Nurse Practitioner | Mercy Health Clinics,llc | 1100 Richmond Rd, Irvine, KY 40336-7231 |
| Pamela Jones | Nurse Practitioner | Mercy Health Clinics,llc | 1100 Richmond Rd, Irvine, KY 40336-7231 |
| Kemberly J Spencer | Nurse Practitioner | Mercy Health Clinics,llc | 1100 Richmond Rd, Irvine, KY 40336-7231 |
| Billie J Kelley | Nurse Practitioner | Mercy Health Clinics,llc | 1100 Richmond Rd, Irvine, KY 40336-7231 |
| Bobbie Jean Allen | Nurse Practitioner | Mercy Health Clinics,llc | 1100 Richmond Rd, Irvine, KY 40336-7231 |
| Tonya Justice | Pediatric Medicine | Mercy Health Clinics,llc | 1100 Richmond Rd, Irvine, KY 40336-7231 |
| Richard H Byers Jr. | Nurse Practitioner | Mercy Health Clinics,llc | 1100 Richmond Rd, Irvine, KY 40336-7231 |
| Maher Kassis | Internal Medicine | Mercy Health Clinics,llc | 1100 Richmond Rd, Irvine, KY 40336-7231 |
| Keith Allen Everitt | Nurse Practitioner | Mercy Health Clinics,llc | 1100 Richmond Rd, Irvine, KY 40336-7231 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William W Wachs | Optometry | 218 Main St, Irvine, KY 40336-1026 | |
| Elizabeth Taheny | Nurse Practitioner | Estill Medical Clinic, Psc | 275 N Court St, Irvine, KY 40336-1077 |
| Donna Ruth Isfort | Nurse Practitioner | Estill Medical Clinic, Psc | 275 N Court St, Irvine, KY 40336-1077 |
| Debra Jean Wolf | Nurse Practitioner | Estill Medical Clinic, Psc | 275 N Court St, Irvine, KY 40336-1077 |
| Joyce L Puckett | Nurse Practitioner | 101 River Dr, Irvine, KY 40336-1117 | |
| Karyn N Mcguire | Nurse Practitioner | Kentuckyone Health Medical Group Inc | 417 River Dr, Irvine, KY 40336-1272 |
| Herbert Long | Family Medicine | Kentuckyone Health Medical Group Inc | 417 River Dr, Irvine, KY 40336-1272 |
| William David Longworth | Nurse Practitioner | Kentuckyone Health Medical Group Inc | 417 River Dr, Irvine, KY 40336-1272 |
| Judy Ann Renfro | Nurse Practitioner | 365 River Dr, Irvine, KY 40336-1284 | |
| Jason R Deskins | Family Medicine | Emergency Medicine Physicians of Estill County Pllc | 60 Mercy Ct, Irvine, KY 40336-1331 |
| Find all physicians in zip 40336 | |||
| City | IRVINE |
| Zip Code | 40336 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | IRVINE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Larry Omar Maggard.
| 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.