NPIMap

Organization Active NPI

Anita M Maybach MD PC

Doing business as Maybach Urgent Care and General Practice

  • Primary Care Clinic/Center
  • Warrenton, VA
National Provider Identifier
1295998334
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0101230734 Issued in VA
Legal business name
ANITA M MAYBACH MD PC
Doing business as
Maybach Urgent Care and General Practice
Practice address
381 Stuyvesant Street
Suite 1
Warrenton, VA 20186-2400
Phone
(540) 347-4410
Fax
(540) 347-4456
NPI assigned
Jul 9, 2008
Last updated
Jul 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Anita M Maybach, MDNPI 1225042195
Title
President
Phone
(540) 347-4410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 0101230734 VA Primary

Addresses

Primary practice location

381 Stuyvesant Street
Suite 1
Warrenton, VA 20186-2400

Mailing address

381 Stuyvesant St
Suite 1
Warrenton, VA 20186-2400
Phone (540) 347-4410

Other names 1

  • Maybach Urgent Care and General Practice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080917000052 VA Part B Supplier - Clinic/Group Practice 7315014305 Receives reassigned benefits from 2 practitioners
Practice locations: Warrenton, VA

National Provider Directory

National Provider Directory

Locations

381 Stuyvesant St
#1
Warrenton, VA 20186
Phone (540) 347-4410

381 Stuyvesant St
Ste 1
Warrenton, VA 20186
Phone (540) 347-4410

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1295998334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 STUYVESANT ST",
            "address_2": "SUITE 1",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862400",
            "telephone_number": "540-347-4410",
            "fax_number": "540-347-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 STUYVESANT STREET",
            "address_2": "SUITE 1",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862400",
            "telephone_number": "540-347-4410",
            "fax_number": "540-347-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANITA M MAYBACH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "MAYBACH",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-347-4410",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101230734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maybach Urgent Care and General Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warrenton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.