Individual provider Active NPI

Steven R Maynard, M.D.

  • Obstetrics & Gynecology Physician
  • Tacoma, WA
National Provider Identifier
1770520728
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD60474298 Issued in WA
Practice address
1901 S Union Ave Ste B3010
Tacoma, WA 98405-1803
Phone
(253) 383-5628
Fax
(253) 383-5687
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD60474298 WA Primary
Obstetrics & Gynecology Physician 207V00000X 77903 MA

Addresses

Primary practice location

1901 S Union Ave Ste B3010
Tacoma, WA 98405-1803

Mailing address

1901 S Union Ave Ste B3010
Tacoma, WA 98405-1803
Phone (253) 383-5628

Other identifiers 1

IdentifierTypeStateIssuer
1770520728OtherRINPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20150319001110 WA Practitioner - Obstetrics/Gynecology 9537153523 Practice locations: Tacoma, WA

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1802 Yakima Ave
Suite 300
Tacoma, WA 98405-5305
Phone (253) 383-5628

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77903MAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steven R Maynard, MD, PLLC Obstetrics & Gynecology CurrentSince Jun 11, 2019 Accepting new patients
Multicare Health System Past Accepting new patients
Southeast Anesthesia Assoc Past Accepting new patients
Boston Medical Group, PC Past Accepting new patients
Franciscan Health System Past Accepting new patients

Locations

1802 Yakima Ave
Ste 300
Tacoma, WA 98405
Phone (253) 383-5628

1901 S Union Ave
Ste B3010
Tacoma, WA 98405
Phone (253) 272-2999

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20756/brand/1/csg/1/fhir/r4
  • Direct secure messaging: steven.maynard.1@20756.direct.athenahealth.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1770520728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S UNION AVE STE B3010",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051803",
            "telephone_number": "253-383-5628",
            "fax_number": "253-383-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S UNION AVE STE B3010",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051803",
            "telephone_number": "253-383-5628",
            "fax_number": "253-383-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "STEVEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD60474298",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "77903",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1770520728",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.