Maxine Theriot, MD

Individual Active
NPI 1194874628
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Poplar Bluff, MO

Maxine Theriot, MD is an undersea and hyperbaric medicine (preventive medicine) physician practicing in Poplar Bluff, MO. The NPI was issued on January 10, 2007, and the record was last updated in NPPES on July 13, 2023. The record lists 3 taxonomy codes. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Primary 2083P0011X 2022047286 (MO)
Family Medicine Physician 207Q00000X J9578 (TX)
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X J9578 (TX)

Practice locations

3098 Oak Grove Rd
Poplar Bluff, MO 63901-8938
Phone: (573) 686-8199
1650 W College St
Grapevine, TX 76051-3565
Phone: (972) 816-0459

Local context

Active NPPES records list 1 provider with undersea and hyperbaric medicine (preventive medicine) physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 15 in Missouri and 618 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Maxine A Theriot
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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