Individual provider Active NPI

Megumi Takayama Maynard, M.D.

  • Family Medicine Physician
  • Knoxville, TN
National Provider Identifier
1568860377
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34368 Issued in TN
Practice address
900 E. Oak Hill Avenue
Knoxville, TN 37917
Phone
(865) 545-7341
NPI assigned
Dec 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34368 TN Primary

Addresses

Primary practice location

900 E. Oak Hill Avenue
Knoxville, TN 37917

Mailing address

600 Superior Avenue, East
Suite 2400
Cleveland, OH 44114
Phone (216) 443-0430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150407002328 TN Practitioner - Family Practice 2062730898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Hyperbaric Centers, LLCGroup PAC ID 4082682778, 16 clinicians

Practice addresses (Care Compare)

9330 Park W Blvd
Knoxville, TN 37923-4308
Phone (865) 373-2030

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34368TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Hyperbaric Centers, LLC CurrentSince Jan 1, 2015 Accepting new patients

Locations

127 Public Sq
Ste 2400
Cleveland, OH 44114

600 Superior Ave
Ste 2400
Cleveland, OH 44114
Phone (216) 337-1622

900 E Hill Ave
Knoxville, TN 37915
Phone (865) 545-7817

9330 Park West Blvd
Ste 108
Knoxville, TN 37923
Phone (865) 769-8635

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1568860377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SUPERIOR AVENUE, EAST",
            "address_2": "SUITE 2400",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44114",
            "telephone_number": "216-443-0430",
            "fax_number": "216-443-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E. OAK HILL AVENUE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37917",
            "telephone_number": "865-545-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "MEGUMI",
        "middle_name": "TAKAYAMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "34368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.