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

Scott E Maynard, MD

Individual provider Anesthesiology Physician · NPI 1235160888

Scott E Maynard, MD is an Anesthesiology in Kingsport, Tennessee. Qualified in 2002, 24 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Dakota and Tennessee.

Years since qualifying
24
Licensed in
ND, TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

135 W Ravine Rd Ste 5-B
Kingsport, TN 37660-3847
Phone: (423) 224-3460
Fax: (423) 224-3465
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2305 37th Ave Sw, Minot, ND 58701-7669 — (701) 857-5000

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 40808 (TN)
Anesthesiology Physician Taxonomy 207L00000X · Licence 16269 (ND)

Record details

NPI number1235160888
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 5, 2006
Last updated in NPPESDecember 28, 2023
Certification dateDecember 28, 2023

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Spectrum Health Primary Care Partners — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Kingsport