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General NPI Number Information
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NPI Number | 1407902786
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Entity Type | Individual
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Provider Name | ARTHUR STANLEY MAYNARD III MD
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Gender | Male
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 11450 N MERIDIAN ST STE 100
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City | CARMEL
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State | IN
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Zip | 46032-4688
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Country | US
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Telephone | 317-715-9985
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Fax | 317-715-9986
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Provider Business Mailing Address
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Address Line | 3502 WOODVIEW TRCE STE 210
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-3182
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Country | US
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Telephone | 317-328-5050
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2011-01755
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 01070052A
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License Number State | IN
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