Richard B Mayer II, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02435 Issued in KY

Practice address

1 S Creek Dr
Ste 102
Monticello, KY 42633-9472

Phone

(606) 348-3365

Fax

(606) 348-8496

NPI assigned

Nov 3, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Tampa Bay Internal Medicine Inc

  • Internal Medicine Physician
  • Lutz, FL
  • NPI 1235191362
  NPD (past)

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1902897309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S CREEK DR",
            "address_2": "STE 102",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426339472",
            "telephone_number": "606-348-3365",
            "fax_number": "606-348-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S CREEK DR",
            "address_2": "STE 102",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426339472",
            "telephone_number": "606-348-3365",
            "fax_number": "606-348-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "RICHARD",
        "middle_name": "B",
        "name_suffix": "II",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "02435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64058084",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Martin
• Tristian Nicole Martin, NP
• Yanire C Martinez, MD
• Twila Massengale
• David Bailey Mayer, DO
• Julie K McClellan, BSW
• Ronal McGinnis
• Jessica Renea McKinney, APRN
• Metamorphosis Mental Health Corporation
• Jennifer Minton

• Family Medicine Physician in Monticello, KY
• Providers in Monticello, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.