NPI age
20 years
Enumerated 2005-09-02
● Active
Type 1 · Individual
Richard M Maynard, D.O.
Maynard is 1 of 141 family medicine providers in Pocatello and 1 of 1691 in Idaho.
Primary specialty
Family Medicine
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-02-06
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1691 active family medicine providers in Idaho.
NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-09Enumerated in NPPES
2005
2026
Where they practice
Practice location
110 Vista Dr
Pocatello, ID 832015824
Mailing address
110 Vista Dr
Pocatello, ID 832015824
Specialties
-
Family Medicine PrimaryFamily 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002665300 | |
| 01 (ID) | DV104 | BLUE CROSS PROVIDER NUMBE |
| 01 (ID) | 080179525 | RAILROAD MEDICARE NUMBER |
| 01 (ID) | 000010003340 | BLUE SHIELD PROVIDER NUMB |
Practice context
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
Recently enumerated nearby: 11 new family medicine providers have been added in Pocatello in the last 180 days.
See all →
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