Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1043204845 Deactivated / Inactive NPI Male Practitioner

Dr. Carlos A. Maitz , MD

Specialist • Bridgeton, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Carlos Maitz has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 07, 2005
NPI Deactivation Date April 15, 2021
Total Practice Duration ~16 Years of Practice (2005 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Carlos Maitz, MD was a registered Specialist practicing in Bridgeton, MO. Throughout an active medical career spanning 16 years, Dr. Maitz provided care at the practice location at 12277 DEPAUL DR until profile deactivation on 2021-04-15.

Practice Location & Contact Primary Location

Practice Address

12277 Depaul Dr
Suite 303 South

Bridgeton, MO 63044

Telephone 3142912614
Fax 3142913591
Associated Practice Facility / Clinic
🏢 Bellerive Ob Gyn Pc Facility NPI 1255399119

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Bridgeton, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.3 Yrs
Regional Practice Density
6 Specialists

Practicing in Bridgeton, MO (503 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MO R9469

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 15, 2021

Record deactivated on April 15, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 12277 DEPAUL DR, SUITE 303 SOUTH, BRIDGETON, MO 63044 (Tel: 3142912614)

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Updated Business Mailing Address July 08, 2007

Registered at 12277 DEPAUL DRIVE, SUITE 303 SOUTH, BRIDGETON, MO 63044 (Tel: 3142912614)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CARLOS MAITZ, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #R9469 in MO)

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Initial NPI Registration & Enumeration September 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043204845
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2005
Last Update: July 08, 2007
Deactivation Date: April 15, 2021

Mailing Address

12277 Depaul Drive, Suite 303 South

Bridgeton, MO 63044

Phone: 3142912614

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.