Active NPI
Ken Maynard, M.D.
- Neurological Surgery Physician
- Portsmouth, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 24589
- Practice address
- 330 Borthwick Ave Ste 300
Portsmouth, NH 03801-7109 - Phone
- (603) 433-4666
- Fax
- (603) 433-1338
- NPI assigned
- Apr 23, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 24589 | NH | Primary |
| Neurological Surgery Physician | 207T00000X | BP10052651 | TX | |
| Neurological Surgery Physician | 207T00000X | MD18183 | RI |
Addresses
Primary practice location
330 Borthwick Ave Ste 300
Portsmouth, NH 03801-7109
Mailing address
330 Borthwick Ave Ste 300
Portsmouth, NH 03801-7109
Phone (603) 433-4666
Other practice location 1
593 Eddy Street APC 6
Providence, RI 02903
Phone (401) 793-9166
Other practice location 2
301 University Blvd
Galveston, TX 77555-0517
Phone (409) 772-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11 Whitehall Rd
Rochester, NH 03867-3226
Phone (603) 332-5211
330 Borthwick Ave
Suite 205
Portsmouth, NH 03801-7109
Phone (603) 433-4666
330 Borthwick Ave
Suite 308
Portsmouth, NH 03801-7112
Phone (603) 431-5242
333 Borthwick Ave
Portsmouth, NH 03801-7128
7 Alumni Dr
Exeter, NH 03833-2118
Phone (603) 433-4666
Hospital & facility affiliations
- Portsmouth Regional Hospital
- Frisbie Memorial Hospital
- York Hospital
- Huggins Hospital
- Exeter Hospital Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 84 |
| Laminectomy or laminotomy (partial removal of spine bones) | 44 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24589 | NH | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appledore Medical Group Dba Woodbury Family Practice | Current | Accepting new patients | |
| Appledore Medical Group, Inc | Neurological Surgery | Current | Accepting new patients |
Locations
330 Borthwick Ave
Ste 300
Portsmouth, NH 03801
Phone (603) 433-4666
330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242
330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- ken.maynard@hca6.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Portsmouth, NH
- NPI 1720077167
Neurological Surgery
-
dba Woodbury Family Practice
- Family Medicine Physician
- Newington, NH
- NPI 1225232184
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Exeter, NH
- NPI 1437158433
-
dba Frisbie Memorial Hospital
- General Acute Care Hospital
- Rochester, NH
- NPI 1689215030
-
dba Portsmouth Regional Hospital
- General Acute Care Hospital
- Portsmouth, NH
- NPI 1518913607
-
- Critical Access Hospital
- Wolfeboro, NH
- NPI 1366476079
-
dba Moultonborough Family Medicine
- Family Medicine Physician
- Moultonborough, NH
- NPI 1639166077
Hospital
-
dba Alton Family Medicine
- Family Medicine Physician
- Alton, NH
- NPI 1871534792
Hospital
-
- General Acute Care Hospital
- York, ME
- NPI 1376528398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741046400000",
"number": "1861812372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 BORTHWICK AVE STE 300",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038017109",
"telephone_number": "603-433-4666",
"fax_number": "603-433-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 BORTHWICK AVE STE 300",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038017109",
"telephone_number": "603-433-4666",
"fax_number": "603-433-1338"
}
],
"practiceLocations": [
{
"address_1": "593 Eddy Street APC 6",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "02903",
"country_code": "US",
"telephone_number": "401-793-9166",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 University Blvd",
"address_purpose": "LOCATION",
"city": "Galveston",
"state": "TX",
"postal_code": "775550517",
"country_code": "US",
"telephone_number": "409-772-1500",
"fax_number": "409-772-1742",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAYNARD",
"first_name": "KEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-23",
"last_updated": "2025-03-04",
"certification_date": "2025-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NH",
"license": "24589",
"primary": true
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TX",
"license": "BP10052651",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "RI",
"license": "MD18183",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.