Individual provider Active NPI

Duane Ward Maynard, M.D.

  • Anesthesiology Physician
  • Boerne, TX
National Provider Identifier
1205819208
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
H6417 Issued in TX
Practice address
11026 Anaqua SPGS
Boerne, TX 78006-8491
Phone
(210) 621-0640
Fax
(210) 621-2386
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X H6417 TX Primary

Addresses

Primary practice location

11026 Anaqua SPGS
Boerne, TX 78006-8491

Mailing address

PO Box 240098
San Antonio, TX 78224-0098
Phone (210) 621-0640

Other identifiers 2

IdentifierTypeStateIssuer
130527810MedicaidTX
8CA823OtherTXBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Champion Anesthesia Consultants, PLLC Anesthesiology CurrentSince Dec 18, 2020 Accepting new patients
Tejas Anesthesia PLLC Anesthesiology CurrentSince May 1, 2017 Accepting new patients
Lone Star Anesthesia Partners PLLC Anesthesiology CurrentSince Jun 25, 2022 Accepting new patients
Tejas Anesthesia PLLC Anesthesiology CurrentSince May 1, 2017 Accepting new patients
Clinical Partners PA Anesthesiology Past Accepting new patients

Locations

11990 N Central Expy
Dallas, TX 75243
Phone (469) 624-5752

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

2001 Hermann Dr
Houston, TX 77004
Phone (713) 285-5500

2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

414 Navarro St
San Antonio, TX 78205
Phone (210) 271-1800

4242 Medical Dr
Ste 3100
San Antonio, TX 78229
Phone (210) 477-9555

423 Treeline Park
Ste 202
San Antonio, TX 78209
Phone (910) 949-6000

5106 W Loop 1604 N
San Antonio, TX 78251
Phone (210) 575-0355

4242 Medical Dr
Ste 1260
San Antonio, TX 78229
Phone (210) 477-9551

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

19010 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 575-0355

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1205819208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240098",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782240098",
            "telephone_number": "210-621-0640",
            "fax_number": "210-621-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11026 ANAQUA SPGS",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780068491",
            "telephone_number": "210-621-0640",
            "fax_number": "210-621-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "DUANE",
        "middle_name": "WARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "H6417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130527810",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8CA823",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.