Linda Maynard MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME79385 Issued in FL

Legal business name

LINDA MAYNARD MD PA

Practice address

2365 Centerville Rd Ste L-1
Tallahassee, FL 32308-4317

Phone

(850) 270-2710

Fax

(850) 270-2720

NPI assigned

Apr 2, 2012

Organization subpart

No

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

Authorized official

Name

Steven Maynard

Title

Office MGR

Phone

(850) 270-2710

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522022400000",
    "number": "1659637825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14798",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323174798",
            "telephone_number": "850-270-2710",
            "fax_number": "850-270-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 CENTERVILLE RD STE L-1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084317",
            "telephone_number": "850-270-2710",
            "fax_number": "850-270-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA MAYNARD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2018-03-26",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "850-270-2710"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME79385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "47953",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Lin, PT
• Ko-Hui Lin, MS
• Andrew Linares
• Heather L. Lincicome, LCSW
• Celeste Lind, ARNP
• Linda Williams
• Susan A Linder-Wyatt, ARNP-BS, MSN
• Shari Ann Lindquist, LMFT
• Matthew Lindsay
• Peronica Rena Lindsey

• All providers in Tallahassee, FL
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.