Provider Demographics
NPI:1629097209
Name:MAYER, MAUREEN (CNP)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:MAYER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 W EXCHANGE ST
Mailing Address - Street 2:#225
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44302-1704
Mailing Address - Country:US
Mailing Address - Phone:330-344-7400
Mailing Address - Fax:330-344-2015
Practice Address - Street 1:224 W EXCHANGE ST
Practice Address - Street 2:#225
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44302-1704
Practice Address - Country:US
Practice Address - Phone:330-344-7400
Practice Address - Fax:330-344-2015
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP05760363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2535859Medicaid
OH2551671OtherPARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH9384101OtherHEART RYTHM ASSOCIATES MEDICARE GROUP #
OH1841239274OtherPARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH1568632628OtherHEART RYTHM ASSOCIATES TYPE 2 NPI #
OH9338635OtherPARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH2957886OtherHEART RYTHM ASSOCIATES MEDICAID GROUP #
OH2535859Medicaid
OHNP18294Medicare PIN
OH9338635OtherPARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OHH421990Medicare PIN