Provider Demographics
NPI:1982620753
Name:MAPA, MARIA HELOISE (DO)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:HELOISE
Last Name:MAPA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2269 CHERRY VALLEY RD SE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-9323
Mailing Address - Country:US
Mailing Address - Phone:740-344-0311
Mailing Address - Fax:
Practice Address - Street 1:1272 W MAIN ST
Practice Address - Street 2:BLDG 5
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-2004
Practice Address - Country:US
Practice Address - Phone:740-348-1787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.009097207RH0002X
CA20A8823207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine