Laura Maydak, MS, RD, LDN

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

DN005667 Issued in PA

Practice address

7000 Oxford Dr
Bethel Park, PA 15102-1863

Phone

(412) 967-4858

NPI assigned

Aug 7, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Giant Eagle Inc

  • Community/Retail Pharmacy
  • Bethel Park, PA
  • NPI 1720093644
  NPD (past)

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1275919730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 OXFORD DR",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021863",
            "telephone_number": "412-967-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 OXFORD DR",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021863",
            "telephone_number": "412-967-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYDAK",
        "first_name": "LAURA",
        "name_prefix": "Ms.",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "PA",
            "license": "DN005667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Kopnicky Marmol, M.D.
• Leanne Janet Marnik
• Christopher George Maropis, MD
• Jacob Martinez, DO
• Donna Dowd Matty, RPH
• David K Mayer, CRNP
• Christina M. J. McCloskey, MOT,OTR/L
• Charles Michael McCool, MD
• Jenna M McCracken, PA-C
• Michael P McGonigal, M.D.

• Metabolic Nutrition Registered Dietitian in Bethel Park, PA
• Providers in Bethel Park, PA by specialty
• Metabolic Nutrition Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.