CHRISTIAN TRAVIS WADE MAXWELL (NPI# 1316576127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316576127 |
Entity Type | Individual |
Full Name | CHRISTIAN TRAVIS WADE MAXWELL |
Credential | MD |
Practice Address |
Fair Oaks Pavilion Rm 247 5440 Linton Boulevard Delray Beach FL 33484 |
Practice Telephone | 5613817048 |
Mailing Telephone | 5613817048 |
Enumeration Date | 2020-04-03 |
Last Update Date | 2020-04-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
FAIR OAKS PAVILION RM 247 5440 LINTON BOULEVARD |
City | DELRAY BEACH |
State | FL |
Zip Code | 33484 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659833002 | Steven L Diamond | Internal Medicine | 5606 Vintage Oaks Terrace, Delray Beach, FL 33484 | 2019-04-04 |
1164905741 | Dana Correnti | Physician Assistant | 5210 Linton Blvd Ste 301, Delray Beach, FL 33484 | 2018-09-10 |
1891207924 | Philip Craig Davidoff | Music Therapist | 13859b Via Aurora, Delray Beach, FL 33484 | 2017-10-30 |
1265943963 | Megan Elizabeth Garvey-henaka | Social Worker | 14000 S. Military Trail Suite 204a, Delray Beach, FL 33484 | 2017-10-20 |
1558726984 | Nena Reloj Neron | Physical Therapist | 16089 Poppyseed Cir Unit 2018, Delray Beach, FL 33484 | 2015-12-30 |
1427430354 | Hannah Ilene Cardarelli | Physician Assistant | 14555 Springside Ln, Delray Beach, FL 33484 | 2015-06-27 |
1689055782 | Genesis Critical Care Associates, LLC | Internal Medicine | 5352 Linton Boulevard, Delray Beach, FL 33484 | 2015-06-15 |
1679980288 | Ashley Susan Lennan | Chiropractor | 14590 S Military Trl Bay Stee5, Delray Beach, FL 33484 | 2014-07-15 |
1104257211 | Jaime Agustin Catala | Internal Medicine | 5130 Linton Blvd Ste G1, Delray Beach, FL 33484 | 2013-11-29 |
1962832105 | Aimee Catabay Abellaneda | Physical Therapist | 16089 Poppyseed Circle, Suite 2008, Delray Beach, FL 33484 | 2013-11-26 |
Find all providers in zip 33484 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720606197 | Julia Antoinette Lord | Student in an Organized Health Care Education/Training Program | 950 Lavers Cir Apt F205, Delray Beach, FL 33444-7840 | 2020-07-11 |
1518596329 | David Eric Beaman | Student in an Organized Health Care Education/Training Program | 5440 Linton Blvd Rm 247, Delray Beach, FL 33484-6512 | 2020-04-03 |
1457848384 | Balreet Kaur Dhami | Student in an Organized Health Care Education/Training Program | 14790 Bonaire Blvd Apt 308, Delray Beach, FL 33446-1751 | 2018-04-17 |
1255838926 | Olinda Isabel Verdecie Feria | Student in an Organized Health Care Education/Training Program | 163 Coconut Key Ln, Delray Beach, FL 33484-8832 | 2018-04-10 |
1356846810 | Brooke Mullis | Student in an Organized Health Care Education/Training Program | 120 E Astor Cir, Delray Beach, FL 33484-8116 | 2018-03-27 |
1568993749 | Kristopher William Leech | Student in an Organized Health Care Education/Training Program | 6376 Timberlakes Way, Delray Beach, FL 33484-3576 | 2017-03-21 |
1366794133 | Charlotte Mary Coyle | Student in an Organized Health Care Education/Training Program | 11 Dixie Blvd, Delray Beach, FL 33444-3845 | 2012-10-04 |
1134291362 | Tracy Elizabeth Mayfield | Student in an Organized Health Care Education/Training Program | 230 Avenue L, Delray Beach, FL 33483-4651 | 2006-11-14 |
1972131852 | Anh-vu Vinh Nguyen | Student in an Organized Health Care Education/Training Program | 5440 Linton Blvd, Delray Beach, FL 33484-6512 | 2020-03-27 |
1407483423 | Michael Edward Torres | Student in an Organized Health Care Education/Training Program | 5352 Linton Blvd, Delray Beach, FL 33484-6514 | 2020-03-27 |
Find all providers in DELRAY BEACH |
City | DELRAY BEACH |
Zip Code | 33484 |
Please comment or provide details below to improve the information on CHRISTIAN TRAVIS WADE MAXWELL.
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.