NPIMap

Organization Active NPI

Maynard E Garrett MD Apmc

  • Otolaryngology Physician
  • Slidell, LA
National Provider Identifier
1699933077
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
LA12053 Issued in LA
Legal business name
MAYNARD E GARRETT MD APMC
Practice address
985 Robert Boulevard
Suite 104
Slidell, LA 70458
Phone
(985) 847-1995
Fax
(985) 847-1992
NPI assigned
Jun 2, 2008
Last updated
Jun 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Mr. Maynard E Garrett Jr., MDNPI 1275552986
Title
President
Phone
(985) 847-1995

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X LA12053 LA Primary
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X LA12053 LA

Addresses

Primary practice location

985 Robert Boulevard
Suite 104
Slidell, LA 70458

Mailing address

985 Robert Boulevard
Suite 104
Slidell, LA 70458
Phone (985) 847-1995

Other identifiers 1

IdentifierTypeStateIssuer
1139572MedicaidLA

National Provider Directory

National Provider Directory

Locations

985 Robert Blvd
Ste 104
Slidell, LA 70458
Phone (985) 520-0909

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": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1699933077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 ROBERT BOULEVARD",
            "address_2": "SUITE 104",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "70458",
            "telephone_number": "985-847-1995",
            "fax_number": "985-847-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 ROBERT BOULEVARD",
            "address_2": "SUITE 104",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "70458",
            "telephone_number": "985-847-1995",
            "fax_number": "985-847-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYNARD E GARRETT MD APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "MAYNARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-847-1995",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "LA12053",
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "LA",
            "license": "LA12053",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1139572",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.