DR. MAXWELL JAMES SELF (NPI# 1497736011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497736011 |
| Entity Type | Individual |
| Full Name | DR. MAXWELL JAMES SELF |
| Credential | M.D. |
| Practice Address |
401 Woodland Hills Blvd Fort Scott KS 66701-8797 |
| Mailing Address |
3011 N Michigan St Pittsburg KS 66762-2546 |
| Practice Telephone | 6202238040 |
| Practice Fax Number | 6202238002 |
| Mailing Telephone | 6202319873 |
| Mailing Fax Number | 6202405062 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2019-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0424746 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
401 WOODLAND HILLS BLVD |
| City | FORT SCOTT |
| State | KS |
| Zip Code | 66701-8797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376739 | Douglas Wayne Hughes | Radiology | 401 Woodland Hills Blvd, Fort Scott, KS 66701-8797 | 2005-06-16 |
| 1730711250 | Tien Q Nguyen | Nurse Practitioner | 401 Woodland Hills Blvd, Fort Scott, KS 66701-8797 | 2020-02-12 |
| 1720637846 | Catherine Carroll | Social Worker | 401 Woodland Hills Blvd, Fort Scott, KS 66701-8797 | 2019-09-11 |
| 1639642820 | Community Health Center of Southeast Kansas, Inc | Pharmacy | 401 Woodland Hills Blvd, Fort Scott, KS 66701-8797 | 2019-01-10 |
| 1336624527 | Community Health Center of Southeast Kansas, Inc. | Clinic/Center | 401 Woodland Hills Blvd, Fort Scott, KS 66701-8797 | 2018-10-03 |
| 1073005617 | Julie Diane Pellett | Pharmacist | 401 Woodland Hills Blvd, Fort Scott, KS 66701-8797 | 2018-05-30 |
| 1346631462 | Amanda Stice | Nurse Practitioner | 401 Woodland Hills Blvd, Fort Scott, KS 66701-8797 | 2015-02-11 |
| 1578894218 | Sara Jo Hunt | Specialist/Technologist | 401 Woodland Hills Blvd, Fort Scott, KS 66701-8797 | 2010-01-20 |
| 1861725186 | Michael Brian Becker | Physician Assistant | 401 Woodland Hills Blvd, Fort Scott, KS 66701-8797 | 2009-09-18 |
| 1376781203 | Cancer Center of Kansas, P.a. | Internal Medicine | 401 Woodland Hills Blvd, Fort Scott, KS 66701-8797 | 2009-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211728 | Ft Scott Surgery Center LLC | Ophthalmology | 916 Us 69, Fort Scott, KS 66701 | 2020-09-25 |
| 1023203890 | Michele L Arndt Sawyer | Social Worker | 212 State St, Fort Scott, KS 66701 | 2007-09-13 |
| 1174743371 | Franklin House | Home Health | 721 Beech Ave, Fort Scott, KS 66701 | 2007-04-27 |
| 1639200058 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 2500 S Main, Fort Scott, KS 66701 | 2007-03-08 |
| 1598811671 | Accent Dental L.L.C. | Clinic/Center | 204 State Street, Fort Scott, KS 66701 | 2007-01-25 |
| 1679625297 | Bryan J Cook | Psychologist | 212 State Street, Fort Scott, KS 66701 | 2007-01-16 |
| 1033279237 | Paul Lee Daniels | Psychologist | 710 W 8th, Fort Scott, KS 66701 | 2006-12-11 |
| 1073680450 | Choices Psy Services | Clinic/Center | 710 West 8th Street, Fort Scott, KS 66701 | 2006-11-29 |
| 1184721482 | Gregory H Quinlan | Ophthalmology | 916 Hwy 69, Fort Scott, KS 66701 | 2006-09-20 |
| 1609985795 | Frank David Miller | Chiropractor | 304 E 23r St, Fort Scott, KS 66701 | 2006-08-30 |
| Find all providers in zip 66701 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851521611 | Sek Urgent Care, LLC | Family Medicine | 1624 S National Ave, Fort Scott, KS 66701-2645 | 2009-07-15 |
| 1720399090 | Katrina M. Burke | Family Medicine | 109 S. Main Street, Fort Scott, KS 66701-8797 | 2010-07-01 |
| 1467566802 | Fort Scott Family Medicine, P.a. | Family Medicine | 202 State St, Suite A, Fort Scott, KS 66701-2031 | 2006-08-19 |
| 1194748392 | Marc Edward Enyart | Family Medicine | 401 Woodland Hills Blvd, Emergency Department, Fort Scott, KS 66701 | 2006-07-26 |
| 1891776209 | Robert R Nichols | Family Medicine | 403 Woodland Hills Blvd, Fort Scott, KS 66701-8798 | 2005-11-11 |
| 1386625903 | Pankaj Gugnani | Family Medicine | 401 Woodland Hills Blvd, Fort Scott, KS 66701-8797 | 2005-11-10 |
| 1578544185 | Roger Parris | Family Medicine | 403 Woodland Hills Blvd, Fort Scott, KS 66701-8798 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370892 | River City Osteopathic Clinic | Family Medicine | 401 E 1st St, Wichita, KS 67202-2501 | 2020-09-14 |
| 1396357166 | Spira Care, LLC | Family Medicine | 7341 W 133rd St, Overland Park, KS 66213-4750 | 2020-08-21 |
| 1902428840 | County of Logan | Family Medicine | 1001 Highway 40 Ste 4, Oakley, KS 67748-6061 | 2020-05-14 |
| 1285253492 | Lawrence Physicians LLC | Family Medicine | 3211 S Iowa St Ste 100, Lawrence, KS 66046-5205 | 2020-04-09 |
| 1164052973 | Theory Health Kansas LLC | Family Medicine | 10000 Marshall Dr, Lenexa, KS 66215-1244 | 2020-01-21 |
| 1477108603 | Laurie Irene Haury | Family Medicine | 818 N Emporia St Ste 107, Wichita, KS 67214-3725 | 2019-08-05 |
| 1477107878 | Lawrence Physicians LLC | Family Medicine | 2001 Haskell Ave Ste A, Lawrence, KS 66046-3249 | 2019-07-25 |
| 1104484773 | Lawrence Physicians LLC | Family Medicine | 1130 W 4th St Ste 1015, Lawrence, KS 66044-1328 | 2019-05-30 |
| 1265900286 | Kansas Wellness Associates LLC | Family Medicine | 4300 W 133rd Street, Suite 200, Leawood, KS 66209 | 2018-11-07 |
| 1043794373 | Rajwinder Kaur | Family Medicine | 540 E Santa Fe St Ste E, Olathe, KS 66061-3400 | 2018-09-22 |
| Find all providers with the same taxonomy | ||||
| City | FORT SCOTT |
| Zip Code | 66701 |
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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.