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ASHLEY MARIE MAXAM
NPI 1144883505
Physician Assistant in Camillus, NY

Active since April 20, 2019
5417 W GENESEE ST STE 3, CAMILLUS, NY 13031(315) 470-7409 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 11, 2021, Oct 21, 2019, Apr 20, 2019 (3 updates tracked since 2019).

About Ashley Marie Maxam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHLEY MARIE MAXAM (NPI 1144883505) is an individual physician assistant in Camillus, New York and active in the NPI registry since April 2019. She maintains a secondary practice location in Syracuse.

NPPES Registry Identity

NPI1144883505
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameASHLEY MARIE MAXAM
Location Address5417 W GENESEE ST STE 3Camillus, NY 13031-2177
Mailing Address1001 W Fayette St Ste 400Syracuse, NY 13204-2866 · (315) 937-3433 · Fax (315) 701-2525
Phone(315) 470-7409
Sole ProprietorNo
Enumeration DateApril 20, 2019
Last NPPES UpdateMarch 11, 20213 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
✔ NPI 1144883505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5417 W GENESEE ST STE 3, Camillus, NY 13031
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Other Names 1

Former Name (1)Ashley Marie Mccann

Secondary Practice Location 1

Location 1739 Irving Ave Ste 340Syracuse, NY 13210-1605 · Phone (315) 470-7747 · Fax (315) 470-7758

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TODD R. LENTZ M.D.
Internal Medicine
5417 W GENESEE ST STE 3
CAMILLUS, NY 13031
Onondaga County (315) 476-2323
MARTIN T NOONAN MD
Internal Medicine
5417 W GENESEE ST STE 3
CAMILLUS, NY 13031
Onondaga County (315) 476-2325
DR. NISHITH AMIN MD FACC
Internal Medicine (Interventional Cardiology)
5417 W GENESEE ST STE 3
CAMILLUS, NY 13031
Onondaga County (315) 476-2323
AMY LYNN RUSSELL PA
Physician Assistant
5417 W GENESEE ST STE 3
CAMILLUS, NY 13031
Onondaga County (315) 476-2323
JACQUELINE Z BARKLEY P.A.
Physician Assistant
5417 W GENESEE ST STE 3
CAMILLUS, NY 13031
Onondaga County (315) 476-2323

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ashley Maxam's NPI number?

The NPI number for Ashley Maxam is 1144883505. It was assigned to this individual provider in the NPPES registry on April 20, 2019. The provider is also known as Ashley Marie Mccann.

Where is Ashley Maxam located?

Ashley Maxam practices at 5417 W Genesee St Ste 3, Camillus, NY 13031. The listed phone number is (315) 470-7409.

What is Ashley Maxam's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Ashley Maxam was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.