Individual provider Active NPI

Sharon Eileen Maynard, M.D.

  • Nephrology Physician
  • Allentown, PA
National Provider Identifier
1104995943
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD439487 Issued in PA
Practice address
1230 S Cedar Crest Blvd Stes 301, 302, 304
Allentown, PA 18103-6212
Phone
(610) 432-4529
Fax
(610) 432-2206
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD439487 PA Primary

Addresses

Primary practice location

1230 S Cedar Crest Blvd Stes 301, 302, 304
Allentown, PA 18103-6212

Mailing address

1230 S Cedar Crest Blvd Ste 301
Allentown, PA 18103-6212
Phone (610) 432-4529

Other practice location 1

3900 Hamilton Blvd Ste 201
Allentown, PA 18103-6122
Phone (484) 664-7555

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smaynard12163@direct.acumenmd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110217000027 PA Practitioner - NephrologyPractitioner - Internal Medicine 7618902784 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Pittsburgh School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Kidney Specialists, P.C.Group PAC ID 2860670734, 31 clinicians

Practice addresses (Care Compare)

1230 S Cedar Crest Blvd
Stes 301 302 and 304
Allentown, PA 18103-6212
Phone (610) 432-4529

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD439487PAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Kidney Specialists, PC Nephrology CurrentSince May 15, 2011 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jun 25, 2011 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Kidney Care Specialists LLC Nephrology CurrentSince Nov 1, 2018 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jun 25, 2011 Accepting new patients
Valley Kidney Specialists, P.C. Nephrology CurrentSince May 15, 2011 Accepting new patients
Foundation Medical Partners Inc. Past Accepting new patients
Medical Faculty Associates, Inc Past Accepting new patients
Foundation Medical Partners Inc Nephrology PastSince Sep 8, 2015 Accepting new patients

Locations

3900 Hamilton Blvd
Ste 201
Allentown, PA 18103
Phone (484) 664-7520

1230 S Cedar Crest Blvd
Ste 30130
Allentown, PA 18103

1230 S Cedar Crest Blvd
Ste 301
Allentown, PA 18103
Phone (610) 432-4873

2014 City Line Rd
Ste 103
Bethlehem, PA 18017
Phone (610) 433-4100

2000 Sproul Rd
Ste 300
Broomall, PA 19008
Phone (610) 356-3700

800 Ostrum St
Ste 102
Fountain Hill, PA 18015
Phone (610) 691-6222

Interoperability endpoints

  • Direct secure messaging: smaynard12163@direct.acumenmd.com

Organizations & group practices 10

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1104995943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 S CEDAR CREST BLVD STE 301",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036212",
            "telephone_number": "610-432-4529",
            "fax_number": "610-432-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 S CEDAR CREST BLVD STES 301, 302, 304",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036212",
            "telephone_number": "610-432-4529",
            "fax_number": "610-432-2206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 Hamilton Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036122",
            "country_code": "US",
            "telephone_number": "484-664-7555",
            "fax_number": "484-664-7550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "SHARON",
        "middle_name": "EILEEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD439487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smaynard12163@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "1230 S Cedar Crest Blvd Stes 301, 302, 304",
            "city": "Allentown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "181036212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.