DR. RUSSELL VAUGHN MAPLES M.D. NPI 1871556951

NPI Information

NPI: 1871556951
Provider Name: DR. RUSSELL VAUGHN MAPLES, M.D.
Classification: Allergy & Immunology - 207K00000X
Entity Type: Individual
Address:
7222 ENGLE ROAD
FORT WAYNE, IN
ZIP 46804
Phone: (260) 432-5005
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DR. Russell Vaughn Maples, M.D. is an allergy immunology in Fort Wayne, IN. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. DR. Russell Vaughn Maples, M.D. NPI is 1871556951. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7222 ENGLE ROAD
FORT WAYNE, IN
ZIP 46804-222
Phone: (260) 432-5005
Fax: (260) 432-6003

The enumeration date for this NPI number is 4/10/2006 and was last updated on 3/14/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207K00000X	Allergy & Immunology		019557	GEORGIA	No
2	207K00000X	Allergy & Immunology		17076	SOUTH CAROLINA	No
3	207K00000X	Allergy & Immunology		MD - 11810	HAWAII	No
4	207RP1001X	Internal Medicine	Pulmonary Disease	01058221A	INDIANA	No
5	207RP1001X	Internal Medicine	Pulmonary Disease	019557	GEORGIA	No
6	207RP1001X	Internal Medicine	Pulmonary Disease	17076	SOUTH CAROLINA	No
7	207RP1001X	Internal Medicine	Pulmonary Disease	MD - 11810	HAWAII	No
8	207K00000X	Allergy & Immunology		01058221A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10987543	OTHER		CAQH
2	D30140	MEDICARE UPIN
3	200460250	MEDICAID	INDIANA
4	237770B	MEDICARE PIN
5	213460	MEDICARE ID-TYPE UNSPECIFIED
6	000000024268	OTHER		M-PLAN
7	000000298856	OTHER		ANTHEM BCBS
8	352007446100	OTHER		CARESOURCE
9	P00153026	OTHER		RAILROAD MEDICARE
10	1597162009	OTHER		CIGNA
11	4395006	OTHER		AETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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