DR. PHILIP A. MAYNARD (NPI# 1619970381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619970381 |
| Entity Type | Individual |
| Full Name | DR. PHILIP A. MAYNARD |
| Credential | D.P.M. |
| Practice Address |
416 N Minnesota Ave Hastings NE 68901-5254 |
| Practice Telephone | 4024622788 |
| Practice Fax Number | 4024624783 |
| Mailing Telephone | 4024622788 |
| Mailing Fax Number | 4024624783 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2013-01-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 00365 | IA | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | 159 | NE | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
00365 | IA | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
159 | NE | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | DME NORIDAN | 1197710001 | 01 |
| NE | 47062581300 | 05 | |
| NE | BC-BS OF NE | 02513 | 01 |
| NE | RAILROAD MEDICARE | 480021803 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215239066 | Philip Cameron Maynard | Chiropractor | 8922 S Memorial Dr Ste C1, Tulsa, OK 74133-4343 | 2010-11-30 |
| 1265995393 | Philip Ahola Maynard | Student in an Organized Health Care Education/Training Program | 100 E 77th St, New York, NY 10075-1850 | 2019-04-06 |
| Street Address |
416 N MINNESOTA AVE |
| City | HASTINGS |
| State | NE |
| Zip Code | 68901-5254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033398144 | Philip A Maynard | Durable Medical Equipment & Medical Supplies | 416 N Minnesota Ave, Hastings, NE 68901-5254 | 2007-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942771423 | Melanie Rose Gardels | Dental Hygienist | 601 N St. Joseph Ave, Hastings, NE 68901 | 2018-12-10 |
| 1730688227 | Amelia R. Govert | Physician Assistant | 715 North Saint Joseph Avenue, Attn: Kim Kennedy Med Staff Coordinator, Hastings, NE 68901 | 2018-02-09 |
| 1881102846 | Sydney Jo Svehla | Occupational Therapist | 3601 Cimarron Plz Ste 105, Hastings, NE 68901 | 2018-01-11 |
| 1275938995 | Amanda Teter | Community Health Worker | 800 E 12th St, Hastings, NE 68901 | 2014-10-23 |
| 1013271246 | Dacia Dawn Oakeson | Nurse Practitioner | 224 E 14th St. Ste 100, Hastings, NE 68901 | 2012-07-03 |
| 1558590935 | Brenda Marie Bivens | Physical Therapist | 2307 Osborne Drive West, Hastings, NE 68901 | 2009-07-07 |
| 1841475894 | Christopher Andrew Murray | Chiropractor | 1934 West 2nd Street, Hastings, NE 68901 | 2008-01-08 |
| 1073725198 | Hastings Heart Institute LLC | Clinic/Center | 715 N Kansas Avenue, Suite 302, Hastings, NE 68901 | 2007-05-03 |
| 1790827764 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 926 East 'e' St, Hastings, NE 68901 | 2007-02-13 |
| 1508905308 | Margaret Irene Mc Cready | Counselor | Burlington Plaza, Burlington Street, Hastings, NE 68901 | 2007-02-06 |
| Find all providers in zip 68901 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821188558 | Charles Milo Halverson | Podiatrist | 1540 North Bell Street, Fremont, NE 68025-3537 | 2006-10-13 |
| 1548219462 | Samuel James Determan | Podiatrist | 17816 Holmes Cir, Omaha, NE 68135-3406 | 2006-05-08 |
| 1487620548 | Steven John Bennett | Podiatrist | 3804 Central Ave, Kearney, NE 68847-8134 | 2006-02-27 |
| 1245210822 | James E Lewandowski | Podiatrist | 820 W Division St, Grand Island, NE 68801-6542 | 2006-01-19 |
| 1528063930 | Jonathan Michael Little | Podiatrist | 1313 Harlan Dr., Bellevue, NE 68005 | 2005-06-14 |
| 1063741114 | Foot Care Center, PC | Podiatrist | 1540 North Bell Street, Fremont, NE 68025-3537 | 2009-12-21 |
| 1588852909 | James E Lewandowski Dpm | Podiatrist | 820 W Division St, Grand Island, NE 68801-6542 | 2007-10-10 |
| 1730384603 | Sterling Foot and Ankle Ctr P.C. | Podiatrist | 1625 Dorwart Dr, Sidney, NE 69162-2505 | 2007-06-19 |
| 1750503082 | Western Plains Foot Center, P.C. | Podiatrist | 2 W 42nd St, Ste 2700, Scottsbluff, NE 69361-0617 | 2007-05-03 |
| 1245455146 | Affiliated Foot Clinics L.L.C. | Podiatrist | 850 N Main St, Fremont, NE 68025-5045 | 2007-04-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.