Active NPI
James Paul Maynard, M.D.
- Neurology Physician
- Fort Thomas, KY
National Provider Identifier
1942229166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 40199
- Practice address
- 85 N Grand Ave 6TH FL
Fort Thomas, KY 41075-1793 - Phone
- (859) 572-3452
- Fax
- (859) 572-3414
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 40199 | KY | Primary |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 40199 | KY | |
| Specialist | 174400000X | 40199 | KY |
Addresses
Primary practice location
85 N Grand Ave 6TH FL
Fort Thomas, KY 41075-1793
Mailing address
2590 Spring Mill PL
Burlington, KY 41005-8501
Phone (859) 586-2214
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2696435 | Medicaid | OH | |
| 64127350 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Your MD, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Sleep Medicine (Family Medicine) Physician
- Cincinnati, OH
- NPI 1326200205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289260800000",
"number": "1942229166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2590 SPRING MILL PL",
"city": "BURLINGTON",
"state": "KY",
"postal_code": "410058501",
"telephone_number": "859-586-2214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 N GRAND AVE 6TH FL",
"city": "FORT THOMAS",
"state": "KY",
"postal_code": "410751793",
"telephone_number": "859-572-3452",
"fax_number": "859-572-3414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYNARD",
"first_name": "JAMES",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2010-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "KY",
"license": "40199",
"primary": true
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "KY",
"license": "40199",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KY",
"license": "40199",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2696435",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64127350",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Thomas, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.