NPIMap

Organization Active NPI

Philip a Maynard

  • Durable Medical Equipment & Medical Supplies
  • Hastings, NE
National Provider Identifier
1033398144
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
159 Issued in NE
Legal business name
PHILIP A MAYNARD
Practice address
416 N Minnesota Ave
Hastings, NE 68901-5254
Phone
(402) 462-2788
Fax
(402) 462-4783
NPI assigned
Oct 25, 2007
Last updated
Jan 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Philip A Maynard, DPMNPI 1619970381
Title
Owner
Phone
(402) 462-2788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 159 NE Primary

Addresses

Primary practice location

416 N Minnesota Ave
Hastings, NE 68901-5254

Mailing address

416 N Minnesota Ave
Hastings, NE 68901-5254
Phone (402) 462-2788

National Provider Directory

National Provider Directory

Locations

416 N Minnesota Ave
Hastings, NE 68901
Phone (402) 462-2788

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1033398144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N MINNESOTA AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015254",
            "telephone_number": "402-462-2788",
            "fax_number": "402-462-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N MINNESOTA AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015254",
            "telephone_number": "402-462-2788",
            "fax_number": "402-462-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP A MAYNARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-462-2788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NE",
            "license": "159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.