Dwayne Alan Maultsby, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME106616 Issued in FL

Practice address

7154 N University Dr
#316
Tamarac, FL 33321-2916

Phone

(954) 720-3188

Fax

(954) 586-2589

NPI assigned

Jun 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Dwayne A Maultsby Professional name

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Anesthesiology

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Sheridan Healthcorp Inc

  • Anesthesiology Physician
  • Okeechobee, FL
  • NPI 1629781711
  Medicare reassignment Care Compare group
• Ams Anesthetist Services LLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1770834426
  Medicare reassignment NPD
• Anesco North Broward LLC

  • Anesthesiology Physician
  • Ft Lauderdale, FL
  • NPI 1699763862
  Medicare reassignment NPD
• Ocala Anesthesia Ams LLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1699197343
  Medicare reassignment NPD
• Sheridan Healthcorp Inc

  • Anesthesiology Physician
  • Boynton Beach, FL
  • NPI 1174195788
  NPD
• Anesthesia Healthcare Partners, Inc.

  • Anesthesiology Physician
  • Petersburg, VA
  • NPI 1477501401
  NPD (past)
• Clinical Partners PA

  • Anesthesiology Physician
  • Corpus Christi, TX
  • NPI 1215995816
  NPD (past)
• Washita Emergency Physicians LLC

  • Emergency Medicine Physician
  • Pauls Valley, OK
  • NPI 1932159233
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1114963618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640996",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33164",
            "telephone_number": "954-720-3188",
            "fax_number": "954-586-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7154 N UNIVERSITY DR",
            "address_2": "#316",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212916",
            "telephone_number": "954-720-3188",
            "fax_number": "954-586-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAULTSBY",
        "first_name": "DWAYNE",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME106616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200083200A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DWAYNE",
            "last_name": "MAULTSBY",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Silvia T Mathew
• William Mathurin, DDS
• Bryan Andrew Matthews
• Kerrian Natoya Matthie Grant
• Melissa Mattis
• Reed Adam Mauser, DPM
• Maxicare Select, Inc.
• Maximus Health Systems LLC
• Margaret Maxwell, RPH PHARMD
• Mazhar Majid MD PA

• Anesthesiology Physician in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.