DR. KEVIN MAXWELL (NPI# 1184044190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184044190 |
| Entity Type | Individual |
| Full Name | DR. KEVIN MAXWELL |
| Credential | M.D. |
| Practice Address |
1200 E 3900 S Salt Lake City UT 84124-1300 |
| Mailing Address |
1433 N 1075 W Ste 104 Farmington UT 84025-2746 |
| Practice Telephone | 8012687111 |
| Mailing Telephone | 8012981300 |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
11785838-1205 | UT | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1200 E 3900 S, Salt Lake City, UT 841241300 | 8012687111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659396323 | Kevin S Maxwell | Family Medicine | 10831 Combie Rd, Suite D, Auburn, CA 95602-8953 | 2006-07-13 |
| 1821384371 | Kevin John Maxwell | Nurse Practitioner | 6973 Linda Vista Rd, San Diego, CA 92111-6342 | 2011-06-23 |
| 1346536935 | Kevin Maxwell | Behavioral Analyst | 17501 Biscayne Blvd, Suite 500, Aventura, FL 33160-4802 | 2011-06-22 |
| 1003071952 | Kevin J Maxwell | Physician Assistant | 1111 N Lee Ave Ste 105, Oklahoma City, OK 73103-2620 | 2008-07-21 |
| 1639346935 | Kevin Hans Maxwell | Art Therapist | 920 48th St, Brooklyn, NY 11219-2918 | 2008-05-15 |
| 1134315021 | Kevin Patrick Maxwell | Counselor | 2933 El Nido Dr, Altadena, CA 91001-4529 | 2007-09-24 |
| 1477766376 | Kevin Maxwell | Counselor | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2007-05-07 |
| Street Address |
1200 E 3900 S |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641249 | Samir N Wadhvania | Internal Medicine | 1200 E 3900 S, Suite 4b, Salt Lake City, UT 84124-1300 | 2005-07-06 |
| 1346847456 | Amanda Marie Robinson | Social Worker | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2020-10-02 |
| 1467081786 | Katherine Rogers | Physical Therapist | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2020-04-07 |
| 1972163368 | Carepoint Inpatient Blue Sky Neurology Utah, Pllc | Psychiatry & Neurology | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2019-06-18 |
| 1023596632 | Elizabeth Ann Lockwood | Physical Therapist | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2018-08-06 |
| 1073037941 | Melanie Steere | Dietitian, Registered | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2017-08-01 |
| 1003337585 | Mark Powell | Occupational Therapist | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2017-07-05 |
| 1932650207 | Jennifer Miller | Registered Nurse | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2016-10-20 |
| 1154775062 | Alex Nelson Knight | Anesthesiology | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2016-04-17 |
| 1437512662 | Salt Lake Trauma Specialists Pllc | Surgery | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2016-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| Find all providers in zip 84124 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558905398 | Wasatch Vascular Center LLC | Radiology | 3702 S State St Ste 103, Salt Lake City, UT 84115-5096 | 2019-11-05 |
| 1568965697 | Comprehensive Interventional Care Centers, Pllc | Radiology | 4624 S Holladay Blvd Ste 202, Salt Lake City, UT 84117-7168 | 2018-03-15 |
| 1356630073 | Claire Kaufman | Radiology | Medical Center 30 N 1900 E, Salt Lake City, UT 84132-0001 | 2011-04-04 |
| 1821154121 | Ryan Gene O'hara | Radiology | University of Utah Dept of Radiology, 30n. 1900e #1a071, Salt Lake City, UT 84132-6100 | 2006-12-29 |
| 1386731339 | Franklin J. Miller Jr. | Radiology | Dept Radiology University of Utah 50 N Medical Drive, 1a71, Salt Lake City, UT 84132-0001 | 2006-10-09 |
| 1972078723 | Physician Medical Group | Radiology | 4624 S Holladay Blvd Ste 202, Salt Lake City, UT 84117-7168 | 2018-10-08 |
| 1104361591 | Genesis Vascular of Salt Lake | Radiology | 6321 S Redwood Rd, Suite 102, Salt Lake City, UT 84123-6798 | 2016-12-21 |
| 1457755258 | University of Utah Adult Services | Radiology | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2014-10-22 |
| 1316203797 | Jared Randall Garrett | Radiology | 30 N 1900 E Rm 1a071, Salt Lake City, UT 84132-0002 | 2012-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180509 | Provas of Provo | Radiology | 320 River Park Dr Ste 215, Provo, UT 84604-6065 | 2020-09-24 |
| 1831662311 | Cache Valley Vein | Radiology | 565 W 465 N Ste 130, Providence, UT 84332-4802 | 2019-01-07 |
| 1740608272 | Michael Max Adam | Radiology | 1055 N 500 W Ste 112, Provo, UT 84604-3305 | 2014-04-02 |
| 1982821690 | Edward John Sarver | Radiology | 5395 Old Post Rd, Ogden, UT 84403-4346 | 2007-04-20 |
| 1790736130 | St. George Radiology Inc. | Radiology | 1308 E 900 S, St George, UT 84790-8520 | 2006-05-12 |
| 1073170031 | Provas of Ogden, LLC | Radiology | 5974 Fashion Point Dr Ste 110, South Ogden, UT 84403-4712 | 2019-05-24 |
| 1407410244 | Provas of Salt Lake, LLC | Radiology | 909 E 9400 S, Sandy, UT 84094-5514 | 2019-04-26 |
| 1265483598 | Utah Valley Radiology Associates Inc | Radiology | 1034 N 500 W, Provo, UT 84604-3380 | 2006-05-12 |
| City | SALT LAKE CITY |
| Zip Code | 84124 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.