Individual provider Active NPI

Richard H Maughon, MD

  • Interventional Pain Medicine Physician
  • Panama City, FL
National Provider Identifier
1063559433
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME86494 Issued in FL
Practice address
2110 W 23Rd St Ste a
Panama City, FL 32405-2370
Phone
(850) 226-6801
Fax
(877) 413-5104
NPI assigned
Feb 1, 2007
Last updated
Jan 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 21909 AL
Interventional Pain Medicine Physician 208VP0014X ME86494 FL Primary

Addresses

Primary practice location

2110 W 23Rd St Ste a
Panama City, FL 32405-2370

Mailing address

210 S Main St
Crestview, FL 32536-3737
Phone (850) 226-6801

Other practice location 1

2826 Ross Clark Cir Ste 103
Dothan, AL 36301-2017
Phone (251) 308-9800

Other practice location 2

210 S Main St
Crestview, FL 32536-3737
Phone (850) 226-6801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100201000634 AL Practitioner - Anesthesiology 0143377366
I20200925002013 FL Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 0143377366

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
University of South Alabama College of Medicine, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12111 Panama City Beach Pkwy
Panama City Beach, FL 32407-2609

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21909ALMDAnesthesiology Physician
ME86494FLMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain and Rehabilitation Center Inc CurrentSince Nov 1, 2015 Accepting new patients
Family and Pain Management Specialists LLC CurrentSince Mar 3, 2013 Accepting new patients
Medical Pain Management,PC PastSince Jul 31, 2017 Accepting new patients
Dynamic Pain & Wellness LLC Interventional Pain Medicine PastSince Jan 24, 2021 Accepting new patients

Locations

2270 Valleydale Rd
Ste 100
Hoover, AL 35244
Phone (205) 591-7246

4735 Norrel Dr
Ste 105
Trussville, AL 35173
Phone (205) 661-3627

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1063559433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S MAIN ST",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325363737",
            "telephone_number": "850-226-6801",
            "fax_number": "877-413-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 W 23RD ST STE A",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052370",
            "telephone_number": "850-226-6801",
            "fax_number": "877-413-5104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2826 Ross Clark Cir Ste 103",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363012017",
            "country_code": "US",
            "telephone_number": "251-308-9800",
            "fax_number": "877-413-5104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 S Main St",
            "address_purpose": "LOCATION",
            "city": "Crestview",
            "state": "FL",
            "postal_code": "325363737",
            "country_code": "US",
            "telephone_number": "850-226-6801",
            "fax_number": "877-413-5104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAUGHON",
        "first_name": "RICHARD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "21909",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME86494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.