| Dr Jonathan Ray Maynard, MD | |
|
2301 Lexington Ave Ste 135, Ashland, KY 41101-2800 | |
| (606) 408-8400 | |
| (606) 408-6770 |
| Full Name | Dr Jonathan Ray Maynard |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 2301 Lexington Ave Ste 135, Ashland, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992970115 | NPI | - | NPPES |
| 7100173180 | Medicaid | KY | |
| 0050712 | Medicaid | OH | |
| 3810021011 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | TP960 (Kentucky) | Secondary |
| 208000000X | Pediatrics | 44675 (Kentucky) | Primary |
| Entity Name | Ashland Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053748913 PECOS PAC ID: 7719882521 Enrollment ID: O20031204000877 |
| Entity Name | Kings Daughters Medical Specialties Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710215736 PECOS PAC ID: 6103968029 Enrollment ID: O20100217000538 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Ray Maynard, MD Po Box 1595, Ashland, KY 41105-1595 Ph: (606) 408-6200 | Dr Jonathan Ray Maynard, MD 2301 Lexington Ave Ste 135, Ashland, KY 41101-2800 Ph: (606) 408-8400 |
Ishmael Worth Stevens Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 13th St, Ashland, KY 41101 Phone: 606-329-0204 Fax: 606-324-7770 | |
Samantha L Cook, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2201 Lexington Ave, Ashland, KY 41101 Phone: 606-408-4000 | |
John Roger Potter, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 13th St, Ashland, KY 41101 Phone: 606-329-0204 Fax: 606-324-7770 | |
Ashok K Khanna, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12470 Us Route 60, Ashland, KY 41102 Phone: 606-408-6300 Fax: 606-408-6647 | |
Jason Ford, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2910 Carter Ave, Ashland, KY 41101 Phone: 606-324-7337 Fax: 606-326-9596 | |
Dr. Courtney Elizabeth De Jesso, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2201 Lexington Ave, Ashland, KY 41101 Phone: 606-408-4000 | |
Ms. Cheryl Lynn Cook, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 Saint Christopher Drive, Building 4, Suite 101, Ashland, KY 41101 Phone: 606-836-0919 Fax: 606-836-2847 |