Miranda W Maynard (NPI# 1497990048, PAC ID# 9537324025) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1497990048 |
| PAC ID by PECOS | 9537324025 |
| Professional Enrollment ID | I20120709000180 |
| Full Name | Miranda W Maynard |
| Organization Legal Name | W T WOOD OD PA |
| Address |
26 S Main St Pontotoc MS 38863-2822 |
| Phone Number | 6624895907 |
| Gender | F |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 2008 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 2769554443 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 26 S Main St, Pontotoc, MS 38863-2822 | 6624895907 | W T WOOD OD PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | W T WOOD OD PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William T Wood | Optometry | W T Wood Od Pa | 26 S Main St, Pontotoc, MS 38863-2822 |
| Street Address |
26 S MAIN ST |
| City | PONTOTOC |
| State | MS |
| Zip | 38863-2822 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William T Wood | Optometry | W T Wood Od Pa | 26 S Main St, Pontotoc, MS 38863-2822 |
| Krissa Wright | Physician Assistant | University of Utah Community Physicians Group | 26 S Main St, Centerville, UT 84014-1817 |
| Hollis A Ricker | Physician Assistant | University of Utah Community Physicians Group | 26 S Main St, Centerville, UT 84014-1817 |
| Mitchel Nelson | Physician Assistant | University of Utah Community Physicians Group | 26 S Main St, Centerville, UT 84014-1817 |
| Stacey T Vroman | Physician Assistant | University of Utah Community Physicians Group | 26 S Main St, Centerville, UT 84014-1817 |
| Hailey N Burpo | Chiropractic | 26 S Main St, Webb City, MO 64870-2379 | |
| Jesse A Jorgensen | Physician Assistant | University of Utah Community Physicians Group | 26 S Main St, Centerville, UT 84014-1817 |
| David E Anisman | Family Medicine | University of Utah Community Physicians Group | 26 S Main St, Centerville, UT 84014-1817 |
| Julie M Lerman | Family Medicine | University of Utah Community Physicians Group | 26 S Main St, Centerville, UT 84014-1817 |
| Christopher Marshall | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 26 S Main St, Randolph, MA 02368-4821 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth White | Nurse Practitioner | Redmed, LLC | 12 Brookes Xing, Pontotoc, MS 38863-1009 |
| Dollie J Cadden | Nurse Practitioner | Redmed, LLC | 12 Brookes Crossing, Pontotoc, MS 38863-1009 |
| Lisa Clark | Nurse Practitioner | Redmed, LLC | 12 Brookes Xing, Pontotoc, MS 38863-1009 |
| Loretta J Smith | Nurse Practitioner | Redmed, LLC | 12 Brookes Xing, Pontotoc, MS 38863-1009 |
| Katese Rutherford | Nurse Practitioner | Redmed, LLC | 12 Brookes Xing, Pontotoc, MS 38863-1009 |
| Jessica J Lawrence | Nurse Practitioner | Redmed, LLC | 12 Brookes Xing, Pontotoc, MS 38863-1009 |
| Lajaysha R Echoles | Nurse Practitioner | Redmed, LLC | 12 Brookes Xing, Pontotoc, MS 38863-1009 |
| Jamie Fortner | Nurse Practitioner | Redmed, LLC | 12 Brookes Xing, Pontotoc, MS 38863-1009 |
| Terri Jo Teague | Family Medicine | Arcare | 353 Hwy 15 N, Mississippicare 113, Pontotoc, MS 38863-1103 |
| Randel C Gibson | Family Medicine | Arcare | 353 Hwy 15 N, Mississippicare 113, Pontotoc, MS 38863-1103 |
| Find all physicians in zip 38863 | |||
| City | PONTOTOC |
| Zip Code | 38863 |
| Specialty | OPTOMETRY |
| City + Specialty | PONTOTOC + OPTOMETRY |
Please comment or provide details below to improve the information on Miranda W Maynard.
| 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.