Maximilian McManus, CRNP
Individual provider Active NPI Family Nurse Practitioner · Calcutta, OH
NPI 1487360905 · NPPES record last updated Jan 27, 2023
Key facts
- NPI
- 1487360905
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0033088 (OH)
- Practice address
- 15700 State Route 170
Calcutta, OH 43920-9657 - Phone
- (412) 588-3370
- NPI assigned
- Jan 27, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230315002855 | PA | Practitioner - Nurse Practitioner | 9830563733 | Reassigns benefits to 2 organizations |
| I20230328002071 | OH | Practitioner - Nurse Practitioner | 9830563733 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0033088 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heritage Valley Multispecialty Group, Inc. | Family | Current |
Accepting new patients |
| Heritage Valley Multispecialty Group, Inc. | Current |
Accepting new patients | |
| Valley Medical Facilities, Inc. | Current |
Accepting new patients | |
| Heritage Valley Multispecialty Group, Inc | Current |
Accepting new patients | |
| Heritage Valley Multispecialty Group, Inc. | Current | Accepting new patients | |
| Valley Medical Facilities Inc | Current |
Accepting new patients | |
| Heritage Valley Medical Group, Inc. | Past | Accepting new patients |
Locations
48462 Bell School Rd
East Liverpool, OH 43920
Phone (330) 385-1770
48462 Bell School Rd
Ste C
East Liverpool, OH 43920
Phone (330) 385-0222
2719 Brodhead Rd
Aliquippa, PA 15001
Phone (724) 378-4411
500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683
2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802
2580 Constitution Blvd
Beaver Falls, PA 15010
Phone (724) 770-7999
273 State Route 288
Ellwood City, PA 16117
Phone (724) 758-7044
2201 Park Manor Blvd
Pittsburgh, PA 15205
Phone (412) 749-6920
720 Blackburn Rd
Sewickley, PA 15143
Phone (412) 741-6600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0033088 | OH | Yes |
Addresses
Primary practice location
15700 State Route 170
Calcutta, OH 43920-9657
Mailing address
827 Broadway Blvd
Steubenville, OH 43952-1226
Other providers in Calcutta, OH
- Julie L. Galeoti
- Holly Ann Higginbottham
- Natalie Rae Holden
- Independent Dialysis Group Northeast Ohio LLC
- JCTH Holdings Inc.
- Lindsay Marie Miller
- PNP, Inc.
- Marcela Purtell
- Angel Robertson
- Salem Community Hospital
All providers in Calcutta, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.