MRS. REBECCA E. M. MAXWELL (NPI# 1215988704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215988704 |
| Entity Type | Individual |
| Full Name | MRS. REBECCA E. M. MAXWELL |
| Other Name | MISS REBECCA E.M. SCOTT |
| Credential | PA-C |
| Practice Address |
400 W Ih 635 Fwy Suite 210 Irving TX 75063-3718 |
| Practice Telephone | 9728692772 |
| Practice Fax Number | 9728691747 |
| Mailing Telephone | 9728692772 |
| Mailing Fax Number | 9728691747 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2013-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA06427 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD MEDICARE | P00902921 | 01 |
| TX | BCBS | 806N01 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649831074 | Rebecca M Maxwell | Social Worker | 5217 Chevy Chase Pkwy Nw, Washington, DC 20015-1747 | 2019-06-26 |
| 1083634208 | Rebecca Helena Maxwell | Psychiatry & Neurology | 3518 Brandemere Dr, Pearland, TX 77584-9446 | 2006-07-20 |
| 1235757238 | Rebecca Marie Maxwell | Internal Medicine | 2123 Auburn Ave Ste 401, Cincinnati, OH 45219-2906 | 2020-07-07 |
| 1487195079 | Rebecca Maxwell | Marriage & Family Therapist | 13500 Sutton Park Dr S, Suite 802, Jacksonville, FL 32224-5251 | 2017-03-15 |
| 1194158162 | Rebecca Ann Maxwell | Case Manager/Care Coordinator | 709 S 5th St, Fort Pierce, FL 34950-8339 | 2013-08-14 |
| 1609153139 | Rebecca Jean Maxwell | Nurse Anesthetist, Certified Registered | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2011-11-11 |
| 1285844431 | Rebecca Guillory Maxwell | Specialist | 3205 W Davis St, Conroe, TX 77304-2039 | 2007-05-23 |
| 1548399504 | Rebecca Ann Maxwell | Social Worker | 30 Floyds Run, Bohemia, NY 11716-2154 | 2007-03-05 |
| Street Address |
400 W IH 635 FWY SUITE 210 |
| City | IRVING |
| State | TX |
| Zip Code | 75063-3718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003810086 | Neil P Williams | Otolaryngology | 400 W Ih 635 Fwy, Ste 360, Irving, TX 75063-3764 | 2005-06-08 |
| 1902194301 | Melissa Ann Johnson | Nurse Practitioner | 400 W Ih 635 Fwy, Suite 250, Irving, TX 75063-3718 | 2011-07-19 |
| 1346405636 | Tiffany Gillam Harvey | Internal Medicine | 400 W Ih 635 Fwy, Suite 200, Irving, TX 75063-3718 | 2008-07-25 |
| 1881854768 | Ami Muncy | Audiologist | 400 W Ih 635 Fwy, Suite 360, Irving, TX 75063-3707 | 2008-06-13 |
| 1144412990 | Irving Coppell Ear, Nose & Throat | Otolaryngology | 400 W Ih 635 Fwy, Suite 360, Irving, TX 75063-3707 | 2007-08-15 |
| 1558551168 | Campion Emergency Physicians Pllc | Emergency Medicine | 400 W Ih 635 Fwy, Irving, TX 75063-3707 | 2007-07-30 |
| 1396893491 | Manvinder Kaur Kainth | Family Medicine | 400 W Ih 635 Fwy, North Texas Healthcare Associates - Plaza I, Suite 210, Irving, TX 75063-3718 | 2007-01-08 |
| 1649371238 | Laura Elizabeth White | Physician Assistant | 400 W Ih 635 Fwy, Plaza I, Suite 220, Irving, TX 75063-3718 | 2006-09-26 |
| 1366460479 | James Frederick Havemann | Family Medicine | 400 W Ih 635 Fwy, Suite 210, Irving, TX 75063-3718 | 2006-07-17 |
| 1164447579 | Anand D. Bhatt | Pediatrics | 400 W Ih 635 Fwy, Suite 250, Irving, TX 75063-3718 | 2006-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386288868 | Fiesta Lifecare Pharmacy 8 LLC | Pharmacy | 412 E Riley St, Freer, TX 75063 | 2019-10-29 |
| 1013578491 | Bobbie Snow Masenda | Nurse Practitioner | 6161 N Sh 161 Service Rd, Unit 200, Irving, TX 75063 | 2019-06-26 |
| 1164989620 | Ellen Green | Occupational Therapist | 7701 Las Colinas Ridge Suite 110, Irving, TX 75063 | 2019-02-20 |
| 1417412503 | Heda Enterprises, Pllc | Optometrist | 2400 Martket Place Blvd, # 180, Irving, TX 75063 | 2019-02-04 |
| 1861956542 | Hannah Kennedy | Specialist/Technologist | 8249 Ranchview Dr Apt 3087, Irving, TX 75063 | 2019-01-26 |
| 1447732805 | Ziprad Inc | Clinic/Center | 7750 N Macarthur Blvd Ste 120-365, Irving, TX 75063 | 2018-09-02 |
| 1457831646 | Laura Robinson | Specialist/Technologist | 8641 Mill Creek Rd, Irving, TX 75063 | 2018-08-16 |
| 1457845208 | Padmaja Jagdish Ambre | Nurse Practitioner | 516, Raton Pass, Irving, TX 75063 | 2018-06-15 |
| 1407394588 | Optum Infusion Services 500, Inc. | Pharmacy | 8400 Esters Blvd Ste 185, Rm 119, Irving, TX 75063 | 2017-02-08 |
| 1376086561 | Mika Claire Smith | Social Worker | 1175 Kinwest Pky, #100, Irving, TX 75063 | 2016-11-21 |
| Find all providers in zip 75063 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063078491 | Mahnura Khatoon Siddika | Physician Assistant | 2443 Newcastle Bnd, Irving, TX 75063-8120 | 2019-05-10 |
| 1639649189 | Andrea Lee Kwan | Physician Assistant | 1050 Lake Carolyn Pkwy Apt 3348, Irving, TX 75039-4800 | 2018-11-27 |
| 1356864722 | Candace Leann Mullens | Physician Assistant | 2005 West Park Dr., Ste. 100, Irving, TX 75061 | 2017-07-18 |
| 1588069892 | Olga Jigovskaia | Physician Assistant | 3626 N Macarthur Blvd Ste 200, Irving, TX 75062-3643 | 2014-10-29 |
| 1982030722 | Kristen Diane Bachus | Physician Assistant | 440 W Ih 635 Fwy Ste 405, Irving, TX 75063 | 2013-09-25 |
| 1689707515 | Michael D Sullivan | Physician Assistant | 6500 Sierra Dr Ste 150, Irving, TX 75039-2480 | 2007-03-13 |
| 1174661599 | Juan Augustine Galindo Jr. | Physician Assistant | 6909 Sonoma, Irving, TX 75039-3071 | 2007-02-01 |
| 1396808333 | Lori Schomberg | Physician Assistant | 212 Santa Fe Trl, Apt. # 2042, Irving, TX 75063-4719 | 2006-12-19 |
| 1558384396 | Cynthia Ann Goff | Physician Assistant | 909 Lake Carolyn Pkwy, Irving, TX 75039-3908 | 2006-07-25 |
| 1275563637 | Michael Ernest Nicholas Jr. | Physician Assistant | 3014 N. O Connor, Suite 110, Irving, TX 75062-4415 | 2006-07-03 |
| Find all providers in IRVING | ||||
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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.