Maxine Theriot, MD
Maxine Theriot, MD is an Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Poplar Bluff, MO, registered under NPI 1194874628. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 3098 OAK GROVE RD, Poplar Bluff, MO 63901. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 2022047286 | MO | Undersea and Hyperbaric Medicine… primary |
| J9578 | TX | Family Medicine Physician |
| J9578 | TX | Undersea and Hyperbaric Medicine… |
Licences are recorded in 2 states: MO, TX. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Family Practice
- PAC ID
- 0648296525
Medicare enrolment is recorded as approved under the provider type Practitioner - Family Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: Missouri and Texas. The practice address on file is in Poplar Bluff, MO, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 2022047286
- Specialty
- Undersea and Hyperbaric Medicine…
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Undersea and Hyperbaric Medicine covers
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. NUCC Health Care Provider Taxonomy, code 2083P0011X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Undersea and Hyperbaric Medicine | 2022047286 | MO | primary |
| 207Q00000X | Family Medicine Physician | J9578 | TX | |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Undersea and Hyperbaric Medicine | J9578 | TX |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1194874628 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jan 10, 2007 |
| Last updated | Jul 13, 2023 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
3098 OAK GROVE RD Poplar Bluff, MO 63901 (573) 686-8199 Fax (573) 686-8398 |
| Mailing address |
709 W RUSK ST STE B Rockwall, TX 75087 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 9 | 4 | 8 | 7 | 4 | 6 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 9 | 4 | 7 | 7 | 8 | 6 | 4 |
Sum = 72 · next multiple of 10 = 80 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.