Carlos a. Maitz M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

R9469 Issued in MO

Legal business name

CARLOS A. MAITZ M.D.

Practice address

680 Craig Road
Suite 303
Creve Coeur, MO 63141-7144

Phone

(314) 291-2614

Fax

(314) 291-3591

NPI assigned

Jan 10, 2007

Last updated

Jan 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carlos Maitz

Title

Owner

Phone

(314) 291-2614

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Donald Henry Lange, MD

  • Obstetrics Physician
  • Saint Louis, MO
  • NPI 1356332761
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1346399102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 CRAIG ROAD",
            "address_2": "SUITE 303",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417144",
            "telephone_number": "314-291-2614",
            "fax_number": "314-291-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 CRAIG ROAD",
            "address_2": "SUITE 303",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417144",
            "telephone_number": "314-291-2614",
            "fax_number": "314-291-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS A. MAITZ M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "MAITZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-291-2614"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "R9469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary Louise Cannistraro, M.D. PHD
• Patti Ann Carbol, M.S.CCC-SLP
• Care Pharmaccyllc
• Care Pharmacy LLC
• Carepartners & Co., LLC
• Jaime L Carmody, M.S.,CCC-A
• Lindsey Carney, MOT, OTR/L
• Anna V Castiller, M.S., CCC-SLP
• Rebekah Cawley
• Centerpointe Pharmacy West

• Specialist in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.