Jaro Mayda II, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

01052526A Issued in IN

Practice address

3611 S Reed Rd
105
Kokomo, IN 46902-3806

Phone

(765) 453-8504

NPI assigned

Dec 28, 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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1326104993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 WESTON DR",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 S REED RD",
            "address_2": "105",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023806",
            "telephone_number": "765-453-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYDA",
        "first_name": "JARO",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IN",
            "license": "01052526A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200272550",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00144115",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000331005",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Maus, MD
• Clay D Maxson, RN
• Brooke May, RBT
• Thomas Lee May, RPH
• Mayda Vascular, Inc.
• Justin Mayes
• Kerry W. Mays, MD
• Melissa McBee, MS, CCC-SLP
• Heather L McCallum, OTR
• Christina McCarty, RBT

• Vascular Surgery Physician in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Vascular Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.