Pamela Maxie, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA3645 Issued in FL

Practice address

3231 McMullen Booth Rd
Safety Harbor, FL 34695

Phone

(727) 725-6100

Fax

(727) 725-6118

NPI assigned

Aug 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

• Coastline Emergency Physicians LLC

  • Emergency Medicine Physician
  • Dunedin, FL
  • NPI 1891744769
  Medicare reassignment
• Trinity Medical Associates L L C

  • Internal Medicine Physician
  • Trinity, FL
  • NPI 1497779169
  Medicare reassignment

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700893278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 RIDGE HAVEN DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117041",
            "telephone_number": "813-643-2442",
            "fax_number": "727-507-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 MCMULLEN BOOTH RD",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "34695",
            "telephone_number": "727-725-6100",
            "fax_number": "727-725-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXIE",
        "first_name": "PAMELA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA3645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry Marr, PHARMD.
• Frances Coleman Martinez, PHD
• Mina Masry, M.D.
• Deena Anne Massell, CRNA
• Jennifer P Masson, RD
• Nancy Kander Maza, R.D.
• Theresa McCready, P.A.
• Katie McFadden
• Diane M McNerney, DNP, ARNP,RNC
• Rhianna Marie McNichols, ARNP-C

• Physician Assistant in Safety Harbor, FL
• Providers in Safety Harbor, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.