Active NPI
Steven R Maynard, M.D.
- Obstetrics & Gynecology Physician
- Tacoma, WA
National Provider Identifier
1770520728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD60474298
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770520728 | Other | RI | NPI |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 77903 | MA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven R Maynard, MD, PLLC | Obstetrics & Gynecology | Current | 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
- https://api.platform.athenahealth.com/20756/brand/1/csg/1/fhir/r4
- 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.
-
- Obstetrics & Gynecology Physician
- Tacoma, WA
- NPI 1649754441
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
-
- Pulmonary Disease Physician
- Dorchester Center, MA
- NPI 1538101191
-
- Anesthesiology Physician
- Dorchester Center, MA
- NPI 1891780078
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.