Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548041148 Individual Practitioner Female Practitioner

Maci Van Dyke

Specialist • Corvallis, OR

Professional Overview & Biography Verified Profile Summary

Maci Van Dyke is a registered healthcare professional specializing in Specialist in Corvallis, OR. Practice services are available at 996 NW CIRCLE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

996 Nw Circle Blvd

Corvallis, OR 973301485

Telephone 5417684370
Associated Practice Facility / Clinic
🏢 Therapeutic Associates Inc Facility NPI 1366428757

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Corvallis, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.3 Yrs
State Avg: 35.7 Yrs
Regional Practice Density
27 Specialists

Practicing in Corvallis, OR (1153 Statewide)

Telehealth Adoption Rate
7.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-10
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OR CAE-P-10235220

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Heather Peacock , RN, BSN, RNC

Registered Nurse - Plastic Surgery

NPI 1013492487

Registered Nurse, Bachelor of Science in Nursing, RNC

NPI 1104318898

ADVANCEDESTHETICIAN

NPI 1346697489
Dr. Richard Havard , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1699772277

Doctor of Medicine (M.D.)

Linda Havard

Specialist

NPI 1720437627
Tabatha Pratt

Specialist

NPI 1770128605

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 10, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2023

Registered at 996 NW CIRCLE BLVD, CORVALLIS, OR 973301485 (Tel: 5417684370)

📍
Updated Business Mailing Address October 10, 2023

Registered at 996 NW CIRCLE BLVD, CORVALLIS, OR 973301485

👤
Provider Name / Credentials Updated October 10, 2023

Recorded as MACI VAN DYKE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2023

Specialist (License #CAE-P-10235220 in OR)

🟢
Initial NPI Registration & Enumeration October 10, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548041148
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2023
Last Update: October 10, 2023
Sole Proprietor: Yes

Mailing Address

996 Nw Circle Blvd

Corvallis, OR 973301485

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.