Taghreed N Maaytah, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

J9184 Issued in TX

Practice address

3501 S Soncy Rd Ste 102
Amarillo, TX 79119-6405

Phone

(806) 353-7900

Fax

(806) 353-8321

NPI assigned

Jan 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• TLC Pediatrics of Amarillo

  • Pediatric Adolescent Medicine Physician
  • Amarillo, TX
  • NPI 1659245272
  NPD (past) Authorized official
• TLC Pediatrics of Amarillo

  • Pediatric Adolescent Medicine Physician
  • Amarillo, TX
  • NPI 1497626816
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1164589362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 S SONCY RD STE 102",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196405",
            "telephone_number": "806-353-7900",
            "fax_number": "806-353-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 S SONCY RD STE 102",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196405",
            "telephone_number": "806-353-7900",
            "fax_number": "806-353-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAAYTAH",
        "first_name": "TAGHREED",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "TX",
            "license": "J9184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "752736163",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110606402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassie Lyon, MED
• Lewis C Lyons, MD.
• Lyudmyla Lysenko, M.D.
• M Squared Inc
• M. Elizabeth Archer MD PA
• Kayla Mabery, FNP-C
• Bonny A Macfarlane, M.D.
• Machias Friendly Pharmacy
• Rebecca Lynn Mackeen, MA LPC
• Robert Allen Mackeen, LPC-A

• Pediatric Adolescent Medicine Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Pediatric Adolescent Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.