DR. GREGORY V. MAYNARD


Address: 404 E Rolla Rd, Salem, MO 65560-1563
Phone: 5737296225

DR. GREGORY V. MAYNARD (NPI# 1063450187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063450187
Entity Type Individual
Full Name DR. GREGORY V. MAYNARD
Credential D.O.
Practice Address 404 E Rolla Rd
Salem
MO 65560-1563
Mailing Address Po Box 2580
Springfield
MO 65801-2580
Practice Telephone 5737296225
Practice Fax Number 5737297258
Mailing Telephone 4178294620
Mailing Fax Number 4178294316
Enumeration Date 2006-06-02
Last Update Date 2008-07-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 113166 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO RAILROAD MEDICARE P00313978 01
MO 244666541 05
MO TRICARE 431560263 01

Other Providers GREGORY MAYNARD

NPI Name Taxonomy Address Enumeration
1366853178 Gregory Maynard Counselor 104 S Front Ave, Prestonsburg, KY 41653-1614 2014-05-14
1265460331 Gregory A Maynard Internal Medicine 200 W Arbor Dr, San Diego, CA 92103-9000 2006-06-29

Office Location

Street Address 404 E ROLLA RD
City SALEM
State MO
Zip Code 65560-1563

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174087985 Brenda Gott Nurse Practitioner 3103 Hh Highway, Salem, MO 65560 2019-01-25
1174959142 Britney Nicole Christesen Chiropractor 909 S Pershing Ave, Salem, MO 65560 2013-09-22
1245550474 Amber Nicole Duncan Chiropractor 803 W 32 Hwy, Suite B, Salem, MO 65560 2010-06-10
1043460371 Tina Marie Mcmullin Counselor 601 East Center Street, Salem, MO 65560 2008-09-23
1225286347 Craig Tatom Nurse Practitioner Hwy 72 N Physicians Office Building II, Salem, MO 65560 2008-09-03
1114190576 Jamie Johnston Wilson Registered Nurse Hwy 72 West, Salem, MO 65560 2008-04-08
1750589024 Vicky L Gulley Emergency Medicine 35629 Hwy 72, Pob 1, Suite 3, Salem, MO 65560 2007-07-06
1275669533 Complete Care, Inc Durable Medical Equipment & Medical Supplies 116 W. 4th, Salem, MO 65560 2007-02-23
1023083722 Brent K. Caudill General Practice Hwy 72 N, Salem, MO 65560 2006-02-17
1750369369 Charles W Cunningham Family Medicine 1010 E Scenic Rivers Blvd, Salem, MO 65560 2006-01-04
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710373444 Larry Bassinger Family Medicine 1300 Broadway St Ne Ste 104, Salem, OR 97301-1420 2015-04-09
1396144507 Constance Johanson Family Medicine 3959 Croisan Creek Rd S, Salem, OR 97302-9474 2014-08-14
1457792699 Sultan Seretis Bussey Hospitalist LLC Family Medicine 310 Route 45, Salem, NJ 08079-2064 2013-07-16
1629338470 Derek Koller Family Medicine 6861 Lemongrass Loop Se, Salem, OR 97306-1474 2012-05-25
1962712927 Paul Julian Perrin Family Medicine 525 Ferry St Se, Suite 203, Salem, OR 97301 2010-10-08
1326372558 Robert Verne Bain Family Medicine 2280 Kuebler Road, South, Salem, OR 97302 2009-09-21
1902036320 James A. Auerbach, M.d., P.C. Family Medicine 4747 Skyline Rd S, Suite 190, Salem, OR 97306-4200 2009-07-20
1033347430 Jeanette Walker Family Medicine 5560 Witzel Rd Se, Salem, OR 97317-9142 2009-06-24
1871747188 Carmelle Marie Andrine Constant Family Medicine 84 Highland Ave Ste 309, Salem, MA 01970-2733 2008-11-13
1518127927 Mazen I Madhoun Family Medicine 3737 W Main St Ste 101, Salem, VA 24153-2073 2008-06-10
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Competitor

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City SALEM
Zip Code 65560

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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