Kelley A Mahan (NPI# 1417286436, PAC ID# 8325175599) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1417286436 |
| PAC ID by PECOS | 8325175599 |
| Professional Enrollment ID | I20121207000204 |
| Full Name | Kelley A Mahan |
| Organization Legal Name | MARYLAND VEIN PROFESSIONALS, LLC |
| Address |
8860 Columbia 100 Pkwy Suite 400 Columbia MD 21045-2384 |
| Phone Number | 4109648346 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0941207484 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 888 Bestgate Rd, Suite 300, Annapolis, MD 21401-2955 | 4109648346 | MARYLAND VEIN PROFESSIONALS, LLC |
| 8860 Columbia 100 Pkwy, Suite 400, Columbia, MD 21045-2384 | 4109648346 | MARYLAND VEIN PROFESSIONALS, LLC |
| Organization Legal Name | MARYLAND VEIN PROFESSIONALS, LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Whittaker | General Surgery | Maryland Vein Professionals, LLC | 8860 Columbia 100 Pkwy, Suite 400, Columbia, MD 21045-2384 |
| Peter S Liao | General Surgery | Maryland Vein Professionals, LLC | 888 Bestgate Rd, Suite 300, Annapolis, MD 21401-2955 |
| Jonathan A Calure | Cardiac Surgery | Maryland Vein Professionals, LLC | 8860 Columbia 100 Pkwy, Suite 400, Columbia, MD 21045-2384 |
| Faye Beth Grimes | Nurse Practitioner | Maryland Vein Professionals, LLC | 8860 Columbia 100 Pkwy, Suite 400, Columbia, MD 21045-2384 |
| Jon A Hupp | Vascular Surgery | Maryland Vein Professionals, LLC | 8860 Columbia 100 Pkwy, Suite 400, Columbia, MD 21045-2384 |
| Rosanne T Calure | Nurse Practitioner | Maryland Vein Professionals, LLC | 8860 Columbia 100 Pkwy, Suite 400, Columbia, MD 21045-2384 |
| Street Address |
8860 COLUMBIA 100 PKWY SUITE 400 |
| City | COLUMBIA |
| State | MD |
| Zip | 21045-2384 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Winter | Ophthalmology | Medical Eye Center | 8860 Columbia 100 Pkwy, Suite 101, Columbia, MD 21045-2286 |
| Josephine M Dubon | Physician Assistant | Columbia Aesthetic Plastic Surgery | 8860 Columbia 100 Pkwy, Suite 206, Columbia, MD 21045-2383 |
| Francisco A Ward | Physical Medicine and Rehabilitation | 8860 Columbia 100 Pkwy, Suite 216, Columbia, MD 21045-2383 | |
| David R Whittaker | General Surgery | Maryland Vein Professionals, LLC | 8860 Columbia 100 Pkwy, Suite 400, Columbia, MD 21045-2384 |
| Kendra K Kay | Internal Medicine | Padder Health Services LLC | 8860 Columbia 100 Pkwy, Suite 212, Columbia, MD 21045-2383 |
| Jonathan A Calure | Cardiac Surgery | Maryland Vein Professionals, LLC | 8860 Columbia 100 Pkwy, Suite 400, Columbia, MD 21045-2384 |
| Antoine G Johnson | Maxillofacial Surgery | 8860 Columbia 100 Pkwy, Suite 308, Columbia, MD 21045-2298 | |
| Eric Chang | Plastic and Reconstructive Surgery | Columbia Aesthetic Plastic Surgery | 8860 Columbia 100 Pkwy, Suite 206, Columbia, MD 21045-2383 |
| Cristina F Rouiller | Optometry | Medical Eye Center | 8860 Columbia 100 Pkwy, Suite 101, Columbia, MD 21045-2286 |
| Scott B Becker | Ophthalmology | Medical Eye Center | 8860 Columbia 100 Pkwy, Suite 101, Columbia, MD 21045-2286 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca W Bower | Physician Assistant | Medical and Aesthetic Dermatology | 9256 Bendix Rd, Suite 200a, Columbia, MD 21045-1848 |
| Cheryl Dewan Bansal | Dermatology | Medical and Aesthetic Dermatology | 9256 Bendix Rd, Suite 200a, Columbia, MD 21045-1848 |
| Brooke A Bennett | Physician Assistant | Medical and Aesthetic Dermatology | 9256 Bendix Rd, Suite 200a, Columbia, MD 21045-1848 |
| Erin L Mcclure | Physician Assistant | Medical and Aesthetic Dermatology | 9256 Bendix Rd, Columbia, MD 21045-1848 |
| Patricia R Smith | Nurse Practitioner | 5158 Orchard Grn, Columbia, MD 21045-1930 | |
| Debby R Lazas | Audiologist | Audiology and Hearing Care, LLC | 8220 Snowden River Pkwy, Columbia, MD 21045-1942 |
| Vaughan Dabbs | Chiropractic | 8600 Snowden River Pkwy, Suite 101, Columbia, MD 21045-1983 | |
| Chinwe L Okoro | Physical Therapy | 8600 Snowden River Pkwy, Suite 101, Columbia, MD 21045-1983 | |
| Krisna Nikka Colburn | Physical Therapy | 8600 Snowden River Pkwy, Suite 101, Columbia, MD 21045-1983 | |
| Marc A Mizzer | Chiropractic | Rehab Center of Md LLC | 8600 Snowden River Pkwy, Suite 101, Columbia, MD 21045-1983 |
| Find all physicians in zip 21045 | |||
| City | COLUMBIA |
| Zip Code | 21045 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | COLUMBIA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kelley A Mahan.
| 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.