Phillip Maiden M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35063252M Issued in OH

Legal business name

PHILLIP MAIDEN M.D.

Practice address

1704 North Rd SE
Warren, OH 44484-2958

Phone

(330) 707-0610

Fax

(330) 758-2862

NPI assigned

May 1, 2006

Organization subpart

No

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

Authorized official

Name

Phillip G Maiden, M.D.NPI 1063418168

Title

Owner

Phone

(330) 758-4515

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Phillip G Maiden, M.D.

  • Psychiatry Physician
  • Warren, OH
  • NPI 1063418168
  NPD (past) Authorized official

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336106459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5384",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445140384",
            "telephone_number": "330-758-4515",
            "fax_number": "330-758-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 NORTH RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842958",
            "telephone_number": "330-707-0610",
            "fax_number": "330-758-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP MAIDEN M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAIDEN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-758-4515",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35063252M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2992047",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Peterson, CDCA
• Angela Maris Pettenati, MD
• Emily Pettitt
• Raven Simone Pew, RN
• Terry B Philibin, D.D.S., M.S.
• Phillips Healthcare LLC (Nightingale Care)
• Ajjiaree Nekeyia Phillips, NP
• Charles Phillips
• Cherin Phillips
• Heather Ann Phillips, CDCA

• Psychiatry Physician in Warren, OH
• Providers in Warren, OH by specialty
• Psychiatry Physician in Ohio

• 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.