Lance John Mayfield, PHYSICIAN ASSISTANT

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA10004207 Issued in WA

Practice address

1 Ediz Hook
U.S. Coast Guard Clinic
Port Angeles, WA 98362-2201

Phone

(360) 417-5891

Fax

(360) 417-5988

NPI assigned

Dec 19, 2005

Sex

Male

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)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22724/brand/1/csg/1/fhir/r4

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.

• Center for Bone & Joint Surgery LTD

  • Orthopaedic Surgery Physician
  • Port Angeles, WA
  • NPI 1619921863
  NPD (past)
• Strait Orthopedic Specialists. PS

  • Orthopaedic Surgery Physician
  • Port Angeles, WA
  • NPI 1437102274
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1376529644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 CRAIG ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983622720",
            "telephone_number": "360-417-0695",
            "fax_number": "360-417-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EDIZ HOOK",
            "address_2": "U.S. COAST GUARD CLINIC",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983622201",
            "telephone_number": "360-417-5891",
            "fax_number": "360-417-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "LANCE",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10004207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanne Rae Mathis, CDPT
• Sarah Elaine Mattson, PT DPT OCS
• Gregory J Mattus, LMHC
• Barbara J Maxwell, ARNP
• Michael S Maxwell, M.D.
• Jamyne Oudra Mayo, PT
• Natalie Brooke Mayse, ARNP
• Snezhana Mazina, ARNP
• Joseph Mbote, LPN
• Kevin McCall, CDP

• Medical Physician Assistant in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.