Jonathan Ray Maynard, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

44675 Issued in KY

Practice address

2301 Lexington Ave Ste 135
Ashland, KY 41101-2800

Phone

(606) 408-8400

Fax

(606) 408-6770

NPI assigned

Apr 29, 2008

Last updated

Dec 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Dr. Jonathan Ray Maynard Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kings Daughters Medical Specialties Inc

  dba Kings Daughters Medical Specialities Physical Medicine and Rehab

  • Physical Medicine & Rehabilitation Physician
  • Prestonsburg, KY
  • NPI 1710215736
  Medicare reassignment NPD
• Ashland Hospital Corporation

  dba King's Daughters Family Pharmacy #3

  • Community/Retail Pharmacy
  • Ironton, OH
  • NPI 1053748913

  KY

  Medicare reassignment NPD
• Ashland Hospital Corporation

  dba King's Daughters Rehab & Skilled Nursing Center

  • Skilled Nursing Facility
  • Ashland, KY
  • NPI 1558426692
  NPD
• Ashland Hospital Corporation

  dba King's Daughters Medical Center Family Care Centers

  • Family Medicine Physician
  • Ashland, KY
  • NPI 1659328250
  NPD
• Kings Daughters Medical Specialties Inc

  dba Kings Daughters Medical Specialties Tri State Regional Cancer Center

  • Radiation Oncology Physician
  • Ashland, KY
  • NPI 1699565176
  NPD
• Kings Daughters Medical Specialties Inc.,

  dba Kings Daughters Medical Specialties Podiatry

  • Podiatrist
  • Ashland, KY
  • NPI 1528502200
  NPD
• Ashland Hospital Corporation

  dba Kings Daughters Medical Center Jackson Medical Specialties

  • Rural Health Clinic/Center
  • Jackson, OH
  • NPI 1356434773
  NPD
• Ashland Hospital Corporation

  dba Kings Daughters - Olive HIll Elementary

  • Family Medicine Physician
  • Olive Hill, KY
  • NPI 1174074546
  NPD (past)
• Ashland Hospital Corporation

  dba Kings Daughters Medical Center

  • General Acute Care Hospital
  • Ashland, KY
  • NPI 1851346720
  NPD (past)

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1992970115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411051595",
            "telephone_number": "606-408-6200",
            "fax_number": "606-408-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 LEXINGTON AVE STE 135",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012800",
            "telephone_number": "606-408-8400",
            "fax_number": "606-408-6770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 N Carol Malone Blvd",
            "address_purpose": "LOCATION",
            "city": "Grayson",
            "state": "KY",
            "postal_code": "411431123",
            "country_code": "US",
            "telephone_number": "606-474-7892",
            "fax_number": "606-474-0040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "JONATHAN",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "TP960",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "44675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0050712",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100173180",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810021011",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmaynard27046@direct.kdhealth.us",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "TXT",
            "address_1": "2301 Lexington Ave Ste 135",
            "city": "Ashland",
            "state": "KY",
            "country_code": "US",
            "postal_code": "411012800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JONATHAN",
            "last_name": "MAYNARD",
            "middle_name": "RAY",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Angela Maynard
• Breanna Maynard
• David Maynard, CSW
• Isabella Maynard
• Jeffrey A Maynard II, FNP-BC
• Haylee Caini Mays, PA-C
• Matthew Paige Maze, APRN
• Casey McCall
• Courtney McCall
• Helen McCalvin Wheeler

• Pediatrics Physician in Ashland, KY
• Providers in Ashland, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.