Richard M Maynard (NPI# 1952395063, PAC ID# 1658356167) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1952395063 |
| PAC ID by PECOS | 1658356167 |
| Professional Enrollment ID | I20040907001278 |
| Full Name | Richard M Maynard |
| Organization Legal Name | MVH PC SPECIALISTS LLC |
| Address |
110 Vista Dr Pocatello ID 83201-5824 |
| Phone Number | 2082342300 |
| Gender | M |
| Credential | DO |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9830467901 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130028 | PORTNEUF MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 110 Vista Dr, Pocatello, ID 83201-5824 | 2082342300 | MVH PC SPECIALISTS LLC |
| Organization Legal Name | MVH PC SPECIALISTS LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark L Mansfield | Family Medicine | Mvh PC Specialists LLC | 110 Vista Dr, Pocatello, ID 83201-5824 |
| Codie M Robertson | Nurse Practitioner | Mvh PC Specialists LLC | 110 Vista Dr, Pocatello, ID 83201-5824 |
| Jordan R Stevens | Nurse Practitioner | Mvh PC Specialists LLC | 110 Vista Dr, Pocatello, ID 83201-5824 |
| Lisa M Must | Physician Assistant | Mvh PC Specialists LLC | 110 Vista Dr, Pocatello, ID 83201-5824 |
| Street Address |
110 VISTA DR |
| City | POCATELLO |
| State | ID |
| Zip | 83201-5824 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark L Mansfield | Family Medicine | Mvh PC Specialists LLC | 110 Vista Dr, Pocatello, ID 83201-5824 |
| Codie M Robertson | Nurse Practitioner | Mvh PC Specialists LLC | 110 Vista Dr, Pocatello, ID 83201-5824 |
| Jordan R Stevens | Nurse Practitioner | Mvh PC Specialists LLC | 110 Vista Dr, Pocatello, ID 83201-5824 |
| Lisa M Must | Physician Assistant | Mvh PC Specialists LLC | 110 Vista Dr, Pocatello, ID 83201-5824 |
| Laurie A Nate | Nurse Practitioner | Primary Care Specialists Pa | 110 Vista Dr, Pocatello, ID 83201-5824 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy A Flicker | Physical Therapy | 2839 Margo Ln, Pocatello, ID 83201-1961 | |
| Michael D Lance | Psychiatry | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Kenneth A Cogen | Nephrology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Randall J Skeem | Internal Medicine | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Martha Elizabeth Franz | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| John L Shuss | General Surgery | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Ciara C Christensen | Clinical Psychologist | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Robin L Hall | Nurse Practitioner | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Laurence L Martens | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Terry J Buccambuso | Diagnostic Radiology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Find all physicians in zip 83201 | |||
| City | POCATELLO |
| Zip Code | 83201 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | POCATELLO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Richard M Maynard.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.