John C Maynard in Rockford - Nephrology

John C Maynard - NPI 1730180878

John C Maynard is a Nephrology in Rockford, Illinois. John C Maynard practices all healthcare services and medical treatments related to Nephrology. The NPI Number for John C Maynard is 1730180878. The last update date is 2011-04-22.

John C Maynard's current location address is 612 Roxbury Rd, Rockford, Illinois. You can contact this provider via phone number 8152278300 and fax number 8152278301. The mailing address for John C Maynard is 612 Roxbury Rd, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name John C Maynard
Address 612 Roxbury Rd, Rockford, Illinois
Phone Number 8152278300
Fax Number 8152278301
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1730180878
Provider Enumeration Date 2005-08-10
Last Updated Date 2011-04-22

Provider Mailing Address Detail

Address 612 Roxbury Rd
City Rockford
State Illinois (IL)
Post Code 611075089
Phone Number 8152278300
Fax Number 8152278301

Provider's Primary Taxonomy Detail

Speciality Nephrology
Taxonomy 207Rn0300X
Licence No 36066422
Definition:
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
30525600 WI --
P00605020 IL RAILROAD MEDICARE
36066422 IL --
1616108 IL BCBS

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FAQs about John C Maynard

What is the unique identification code assigned to John C Maynard by the Centers for Medicare & Medicaid Services?

The John C Maynard has been issued the NPI (National Provider Identifier) 1730180878. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where John C Maynard's facilities are geographically located?

The facilities of John C Maynard are physically situated at the following location: 612 Roxbury Rd, Rockford, IL, 611075089.

What is the area of specialization for John C Maynard, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for John C Maynard is Nephrology, and the corresponding taxonomy code that categorizes this area of expertise is 207Rn0300X.

When was the John C Maynard's 1730180878 issued?

The John C Maynard's 1730180878 was issued on 2005-08-10.

As of what date were the details pertaining to John C Maynard last refreshed?

The information related to the John C Maynard, including its address, specialty, and other relevant details, was last updated on 2011-04-22.

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