SAMUEL A MAXEY (NPI# 1457654170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457654170 |
| Entity Type | Individual |
| Full Name | SAMUEL A MAXEY |
| Credential | MD |
| Practice Address |
2604 Waterford Dr Irving TX 75063-3186 |
| Practice Telephone | 9734449102 |
| Mailing Telephone | 9734449102 |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2010-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
H2038 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
2604 WATERFORD DR |
| City | IRVING |
| State | TX |
| Zip Code | 75063-3186 |
| 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 | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326277286 | Ji Yoon Yoon | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039-2443 | 2009-07-13 |
| 1598905689 | Raanan Sela | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039 | 2009-03-02 |
| 1629264197 | Christopher Joseph Morgan | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039-2443 | 2007-09-19 |
| 1912059692 | Amy Elisabeth Noffsinger | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039-2443 | 2007-01-16 |
| 1104852334 | Robert Maximilian Genta | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039-2443 | 2006-06-22 |
| 1770552226 | Mohammad Hossein Saboorian | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912495086 | Vibha Bhasin | Pathology | 106 Happy Trl, Shavano Park, TX 78231-1428 | 2018-04-24 |
| 1770035545 | Texas Tech University Health Sciences Center | Pathology | 2000 Transmountain Road, El Paso, TX 79911 | 2016-10-27 |
| 1891151601 | Thomas Steven Roosth | Pathology | 5850 Rogerdale Rd., Houston, TX 77072-1602 | 2016-01-08 |
| 1619379302 | Ameer Hamza | Pathology | 1515 Holcombe Blvd # 2, Houston, TX 77030 | 2014-09-24 |
| 1861823569 | Victoria Greene | Pathology | 43 Du Pont Cir, Sugar Land, TX 77479-2522 | 2013-12-05 |
| 1417391533 | Consultative Genomics, Pllc | Pathology | 5909 West Loop South, Suite 310, Bellaire, TX 77401-2433 | 2013-04-19 |
| 1164769485 | Randall Carrol Harper | Pathology | 9702 Dove Shadow, San Antonio, TX 78230 | 2013-01-07 |
| 1659617009 | Adg Houston Path Pllc | Pathology | 2525 W Bellfort Ave Ste 194, Houston, TX 77054-5099 | 2012-12-12 |
| 1457629503 | R Lee Ennis Md Pa | Pathology | 2402 W Morton Ste 146, Denison, TX 75020 | 2011-12-05 |
| 1720381742 | Eumenia Costa Da Cunha Castro | Pathology | 5130 Sycamore Creek Dr, Kingwood, TX 77345-1447 | 2010-12-14 |
| Find all providers with the same taxonomy | ||||
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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.