Maisen Medical Practice, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MAISEN MEDICAL PRACTICE, INC

Practice address

1453 W Island Club SQ
Vero Beach, FL 32963-5519

Phone

(772) 234-2598

Fax

(772) 365-0333

NPI assigned

Jan 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ludmilla Maisen, M.D.

Title

President

Phone

(772) 234-2598

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ludmilla N Ionescu, M.D.

  • Family Medicine Physician
  • Poway, CA
  • NPI 1568498145
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154477594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 W ISLAND CLUB SQ",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329635519",
            "telephone_number": "772-234-2598",
            "fax_number": "772-365-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 W ISLAND CLUB SQ",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329635519",
            "telephone_number": "772-234-2598",
            "fax_number": "772-365-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAISEN MEDICAL PRACTICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAISEN",
        "authorized_official_first_name": "LUDMILLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-234-2598",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Anthony Maggio, DO
• Brianna Parker Maguire, APRN
• Jason A. Mahnke, M.A., A.T.,C.
• Michele Maholtz, MD
• Deborah Mains
• Raghavendra Charan Makam, MD
• Viraj Makavana, DO
• Deni Malave-Huertas, MD
• Diego A Maldonado, M.D.
• Maria V Mallia

• Family Medicine Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.