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EMILEE BROOKE MAYNARD PA
NPI 1417884529
Physician Assistant in Logan, WV

Active since May 05, 2026
20 HOSPITAL DR, LOGAN, WV 25601(304) 831-1101 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Emilee Brooke Maynard Pa NPPES

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

EMILEE BROOKE MAYNARD PA (NPI 1417884529) is an individual physician assistant in Logan, West Virginia and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1417884529
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameEMILEE BROOKE MAYNARDCredential: PA
Location Address20 HOSPITAL DRLogan, WV 25601-3452
Mailing Address2425 Mcclellan HwyRanger, WV 25557-7537
Phone(304) 831-1101
Sole ProprietorNo
Enumeration DateMay 5, 2026
NPPES CertifiedMay 5, 2026
✔ NPI 1417884529 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.
20 HOSPITAL DR, Logan, WV 25601
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Other Providers at the Same Location NPPES 20

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

THE TRAINING ROOM INC
Durable Medical Equipment & Medical Supplies
20 HOSPITAL DR, DOCTORS PARK
LOGAN, WV 25601
Logan County (410) 374-4000
TIMOTHY M REED FNP
Nurse Practitioner (Family)
20 HOSPITAL DR
LOGAN, WV 25601
Logan County (304) 831-1188
LOGAN REGIONAL ANESTHESIA SERVICES, LLC
Anesthesiology
20 HOSPITAL DR
LOGAN, WV 25601
Logan County (304) 553-7680
ROBERT PEREZ M.D.
Internal Medicine
20 HOSPITAL DR
LOGAN, WV 25601
Logan County (304) 831-1630
PATSY EUGENIE STOOTS FNP-BC
Nurse Practitioner (Acute Care)
20 HOSPITAL DR
LOGAN, WV 25601
Logan County (304) 831-1101
REGENEA QUICK
Nurse Practitioner (Family)
20 HOSPITAL DR
LOGAN, WV 25601
Logan County (304) 831-1891
GILES BOWMAN CRNA
Nurse Anesthetist, Certified Registered
20 HOSPITAL DR
LOGAN, WV 25601
Logan County (304) 831-1138
LOGAN REGIONAL MEDICAL CENTER
General Acute Care Hospital
20 HOSPITAL DR
LOGAN, WV 25601
Logan County (304) 831-1101

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 Emilee Maynard's NPI number?

The NPI number for Emilee Maynard is 1417884529. It was assigned to this individual provider in the NPPES registry on May 5, 2026.

Where is Emilee Maynard located?

Emilee Maynard practices at 20 Hospital Dr, Logan, WV 25601. The listed phone number is (304) 831-1101.

What is Emilee Maynard'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 Emilee Maynard was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.