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

Richard M Maynard, DO

Individual provider Family Medicine Physician · NPI 1952395063

Richard M Maynard, DO is a Family Practice in Pocatello, Idaho. Qualified in 1987, 39 years ago. Practices with Primary Care Specialists PA, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
39
Licensed in
ID
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

110 Vista Dr
Pocatello, ID 83201-5824
Phone: (208) 234-2300
Fax: (208) 234-0026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence O-93 (ID)

Record details

NPI number1952395063
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedSeptember 2, 2005
Last updated in NPPESFebruary 6, 2014
Mailing address110 Vista Dr, Pocatello, ID 83201-5824

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Primary Care Specialists Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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