Provider Demographics
NPI:1497722987
Name:MAIKATH, GERALDINE K (NP)
Entity Type:Individual
Prefix:
First Name:GERALDINE
Middle Name:K
Last Name:MAIKATH
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:27 PARK ST
Mailing Address - Street 2:CAPE COD HOSPITAL DEPT OF PAIN MANAGEMENT
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-5230
Mailing Address - Country:US
Mailing Address - Phone:508-862-5680
Mailing Address - Fax:508-862-7984
Practice Address - Street 1:27 PARK ST
Practice Address - Street 2:CAPE COD HOSPITAL DEPT OF PAIN MANAGEMENT
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-5230
Practice Address - Country:US
Practice Address - Phone:508-862-5680
Practice Address - Fax:508-862-7984
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA141419363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MANP4629OtherBCBS
Q19457Medicare UPIN
MANP4629OtherBCBS