Carly Maher, PA-C

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

PA9112706 Issued in FL

Practice address

1333 3Rd Ave South
Suite 501
Naples, FL 34102

Phone

(239) 300-9767

Fax

(239) 842-1273

NPI assigned

Oct 22, 2019

Sex

Female

Sole proprietor

Yes

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kirsch Mso LLCGroup PAC ID 7517497621, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Kirsch Mso LLC

  • Dermatology Physician
  • Naples, FL
  • NPI 1063223337
  Medicare reassignment Care Compare group
• Kirsch Mso LLC

  dba Kirsch Dermatology

  • Dermatology Physician
  • Naples, FL
  • NPI 1700372182
  Medicare reassignment
• DB Facial Plastic Surgery Inc

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Naples, FL
  • NPI 1033088372
  NPD

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1841833928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 3RD AVE SOUTH",
            "address_2": "SUITE 501",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34102",
            "telephone_number": "239-300-9767",
            "fax_number": "239-842-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 3RD AVE SOUTH",
            "address_2": "SUITE 501",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34102",
            "telephone_number": "239-300-9767",
            "fax_number": "239-842-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHER",
        "first_name": "CARLY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "PA9112706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiran Machindra Mahadik
• Ananya Mahajan, PA-C
• Vimla Maharaj-Banks, DDS
• Crystal Maharaj, PHARMD
• Khasraj Maharaj
• Mariah Victoria Mahone
• Tam Thanh Mai, M.D.
• Yara Rafeela Maia, M.D.
• Briana Helene Maierle, PA-C
• Main Street Children's Dentistry & Orthodontics of Naples, PA (Main Street Children's Dentistry of Naples)

• Dermatology Physician in Naples, FL
• Providers in Naples, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.