NPIMap

Individual provider Active NPI

Walter Ned Maimon, M.D.

  • Otolaryngology Physician
  • Dayton, OH
National Provider Identifier
1972574267
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
35045767 Issued in OH
Practice address
19 Briar Hill Rd
Dayton, OH 45419-3429
Phone
(937) 299-9331
Fax
(937) 496-2610
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 35045767 OH Primary

Addresses

Primary practice location

19 Briar Hill Rd
Dayton, OH 45419-3429

Mailing address

19 Briar Hill Rd
Dayton, OH 45419-3429
Phone (937) 299-9331

Other identifiers 5

IdentifierTypeStateIssuer
D45767OtherHUMANA
1020053OtherUNITEDHEALTHCARE
9125132MedicaidOH
0640557OtherAETNA
000000003862OtherANTHEM

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35045767OHMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Ohio ENT Specialists Inc Otolaryngology Past Accepting new patients
Dayton Head and Neck Surgeons Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDIFCD

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.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1972574267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BRIAR HILL RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454193429",
            "telephone_number": "937-299-9331",
            "fax_number": "937-496-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BRIAR HILL RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454193429",
            "telephone_number": "937-299-9331",
            "fax_number": "937-496-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIMON",
        "first_name": "WALTER",
        "middle_name": "NED",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35045767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "D45767",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "1020053",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9125132",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0640557",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000003862",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.