MAXINE A. THERIOT MD – NPI #1194874628
Preventive Medicine

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

MAXINE THERIOT is a physician located in POPLAR BLUFF, MO. NPPES has assigned the NPI number 1194874628 to MAXINE THERIOT on January 10, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name MAXINE A DAWES. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2083P0011X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Undersea and Hyperbaric Medicine

The NPI profile was previously updated about 3 years ago on Jul 13, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MAXINE THERIOT below.

NPI Profile for
MAXINE A. THERIOT

NPI Number
1194874628
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MAXINE A. THERIOT
Former Name: MAXINE A DAWES
Credentials
MD
Primary location
3098 OAK GROVE RD
POPLAR BLUFF, MO 63901-8938
Phone: (573) 686-8199 Fax: (573) 686-8398
1 Other location(s):
1650 W College St
Grapevine, TX 76051-3565
Phone: (972) 816-0459
Mailing address
709 W RUSK ST STE B
ROCKWALL, TX 75087-3600
Phone: (972) 786-0140 Fax: (972) 786-0142
Sole Proprietor
No
Updated
Certification Date
Jul 13, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083P0011X
- Preventive Medicine / Undersea and Hyperbaric Medicine (Primary)
MO 2022047286
207Q00000X
- Family Medicine
TX J9578

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE - Graduated 1994
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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