Active NPI
Duane Ward Maynard, M.D.
- Anesthesiology Physician
- Boerne, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- H6417
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130527810 | Medicaid | TX | |
| 8CA823 | Other | TX | BLUE 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Champion Anesthesia Consultants, PLLC | Anesthesiology | Current | Accepting new patients |
| Tejas Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Lone Star Anesthesia Partners PLLC | Anesthesiology | Current | Accepting new patients |
| Tejas Anesthesia PLLC | Anesthesiology | Current | 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.
-
- Anesthesiology Physician
- Southlake, TX
- NPI 1649676024
-
- Anesthesiology Physician
- San Antonio, TX
- NPI 1124760996
-
- Anesthesiology Physician
- San Antonio, TX
- NPI 1659027910
-
- Anesthesiology Physician
- League City, TX
- NPI 1659383305
-
- Anesthesiology Physician
- Corpus Christi, TX
- NPI 1215995816
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.