Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Thomas A Maibenco, MD

Individual provider Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1639211386

Mr. Thomas A Maibenco, MD is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Tahlequah, Oklahoma. Works from 2 locations. Licensed in Illinois and Oklahoma.

Licensed in
IL, OK
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1500 E Downing St Ste 101
Tahlequah, OK 74464-3354
Phone: (918) 453-1234
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 916 Talon Drive, Ofallon, IL 62269-1848 — (618) 628-8211

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X · Licence 35295 (OK)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X · Licence 336078668 (IL)

Record details

NPI number1639211386
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 12, 2007
Last updated in NPPESMarch 10, 2020
Certification dateMarch 10, 2020