Individual
PETE MAYFIELD IV
Active
Individual
PETE MAYFIELD IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01034928A
IN
207R00000X
Internal Medicine Physician
23401
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000062915
ANTHEM - NCMA
—
01
—
000023031D
HUMANA / NCMA
KY
01
—
004329
SIHO - NCMA
—
05
—
100097290
—
IN
01
—
110138280
RRMCR - NCMA
IN
01
—
1166748
PASSPORT - NCMA
—
01
—
1193576
CHA / NCMA
KY
01
—
2440087000
PAD - NCMA
—
01
—
2533699
CIGNA / NCMA
KY
05
—
64234016
—
KY
Enumeration date
04/19/2006
Last updated
01/20/2021
Update your record
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