John C Maino II, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

4301042724 Issued in MI

Practice address

2200 Smalley St
Jackson, MI 49203-3725

Phone

(517) 740-9087

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI, WA, TX3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmaino451660@direct.hfhs.org

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.

• Independent Emergency Physicians, P.C.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Southfield, MI
  • NPI 1780791343
  Medicare reassignment NPD
• Mississippi Band of Choctaw Indians

  • General Acute Care Hospital
  • Choctaw, MS
  • NPI 1790865780

  TX

  Medicare reassignment NPD
• Northwest Emergency Physicians LLC

  • Emergency Medicine Physician
  • Arlington, WA
  • NPI 1235172370
  Medicare reassignment NPD
• Northwest Observation Associates PC

  • Internal Medicine Physician
  • Federal Way, WA
  • NPI 1023539376
  Medicare reassignment NPD
• Henry Ford Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Detroit, MI
  • NPI 1851410005
  NPD
• Mississippi Band of Choctaw Indians

  • Federal Public Health Clinic/Center
  • Choctaw, MS
  • NPI 1255533758
  NPD
• Mississippi Band of Choctaw Indians

  • Ambulance
  • Choctaw, MS
  • NPI 1548358153
  NPD

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1902851173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SMALLEY ST.",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033726",
            "telephone_number": "517-740-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SMALLEY ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033725",
            "telephone_number": "517-740-9087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8010 1st Avenue NE",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98115",
            "country_code": "US",
            "telephone_number": "517-740-9087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAINO",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "60303031",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301042724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104144967",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDIACRE",
            "identifier": "930095625",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Butcher Mahaffey, LMSW
• Aryan Maheshwari, M.B.B.S.
• Linda S Mahler, CSW
• Kathleen Patricia Mahoney, CSW
• Kennedy Lane Mailahn-McNall
• Jameson Marion Maitland
• Roy Major
• Yousif Makadsi
• Riya Malhotra, DO
• Aman Malik, DO

• Emergency Medicine Physician in Jackson, MI
• Providers in Jackson, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.