Organization Active NPI

Duane W. Maynard, M.D., P.a.

  • Anesthesiology Physician
  • Boerne, TX
National Provider Identifier
1427285956
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
H6417 Issued in TX
Legal business name
DUANE W. MAYNARD, M.D., P.A.
Practice address
11026 Anaqua SPGS
Boerne, TX 78006-8491
Phone
(210) 621-0640
Fax
(210) 621-2517
NPI assigned
Jun 11, 2009
Last updated
Sep 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Authorized official

Name
Dr. Duane Ward Maynard, M.D.NPI 1205819208
Title
Physician/Owner
Phone
(210) 621-0640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1427285956",
    "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": "210-621-2517"
        },
        {
            "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": "210-621-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUANE W. MAYNARD, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "WARD",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "210-621-0640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "H6417",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 15, 2020; 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.