MAXIM HEALTHCARE SERVICES, INC. (NPI# 1639542020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639542020 |
| Entity Type | Organization |
| Organization Name | MAXIM HEALTHCARE SERVICES, INC. |
| Practice Address |
1313 N 13th Ave Walla Walla WA 99362-8817 |
| Mailing Address |
7227 Lee Deforest Dr Columbia MD 21046-3236 |
| Practice Telephone | 5095253610 |
| Mailing Telephone | 4109101500 |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |
| Authorized Official Name | MISS KIM HERRMANN (HIRING MANAGER) |
| Authorized Official Telephone | 4109101693 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DE 60590290 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386200483 | Maxim Healthcare Services, Inc. | Community/Behavioral Health | 34250 Gateway Dr Ste 100, Palm Desert, CA 92211-0856 | 2019-05-14 |
| 1275018251 | Maxim Healthcare Services, Inc. | Community/Behavioral Health | 1 Ridgegate Dr Ste 130, Temecula, CA 92590-5505 | 2018-09-26 |
| 1386093375 | Maxim Healthcare Services, Inc. | Home Health | 9400 Gateway Dr, Suite A, Reno, NV 89521-4186 | 2016-06-09 |
| 1053750026 | Maxim Healthcare Services, Inc. | Home Health | 1311 W 33rd St, Lorain, OH 44053-2703 | 2013-06-22 |
| 1164709689 | Maxim Healthcare Services, Inc. | Home Health | 2856 E Buick Cadillac Blvd, Suite 4, Bloomington, IN 47401-5442 | 2011-11-11 |
| 1356635346 | Maxim Healthcare Services, Inc. | Home Health | 9501 State Route 250, Suite 5, Milan, OH 44846-9377 | 2011-06-07 |
| 1033401351 | Maxim Healthcare Services, Inc. | Home Health | 83 E Water St, Chillicothe, OH 45601-2535 | 2011-05-04 |
| 1053543223 | Maxim Healthcare Services, Inc. | Nursing Care | 93 Beaumont St, Clarksville, TN 37040-3217 | 2009-08-20 |
| 1053542019 | Maxim Healthcare Services, Inc. | Home Health | 1248 O St, Suite 308, Lincoln, NE 68508-1493 | 2009-08-07 |
| 1679702898 | Maxim Healthcare Services, Inc. | Home Health | 2314 W 8th St, Erie, PA 16505-4426 | 2009-07-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | MAXIM HEALTHCARE SERVICES, INC. | 7227 Lee Deforest Dr, Columbia, MD 21046-3236 |
| New York State Corporations | MAXIM HEALTHCARE SERVICES, INC. | 7227 Lee Deforest Dr, Columbia, Maryland 21046-3236 |
| Washington State Corporations | MAXIM HEALTHCARE SERVICES, INC. | 7227 Lee Deforest Dr, Columbia, MD 21046-3236 |
| Oregon Corporations, Companies and Business Names | MAXIM HEALTHCARE SERVICES, INC. | 7227 Lee Deforest Dr, Columbia, MD 21046 |
| Vermont Business Registrations | MAXIM HEALTHCARE SERVICES, INC. | 7227 Lee Deforest Drive, Columbia, MD 21046 |
| Colorado Business Entities | MAXIM HEALTHCARE SERVICES, INC. | 7301 Parkway Drive, Hanover, MD 21076-1119 |
| Massachusetts Corporations | MAXIM HEALTHCARE SERVICES, INC. | 7227 Lee Deforest Dr., Columbia, MD 21046 |
| Indiana Business Entities | MAXIM HEALTHCARE SERVICES, INC. | 7227 Lee Deforest Dr, Columbia, MD 21046-3236 |
| Street Address |
1313 N 13TH AVE |
| City | WALLA WALLA |
| State | WA |
| Zip Code | 99362-8817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427006246 | Brian Walker | Psychiatry & Neurology | 1313 N 13th Ave, Walla Walla, WA 99362-8817 | 2006-05-04 |
| 1003449695 | Liam C Wall | Counselor | 1313 N 13th Ave, Walla Walla, WA 99362-8817 | 2020-02-21 |
| 1811463623 | Cheryl Ann Campbell | Counselor | 1313 N 13th Ave, Walla Walla, WA 99362-8817 | 2018-10-18 |
| 1235644634 | Thompson & Thompson Physical Therapy, Ps | Clinic/Center | 1313 N 13th Ave, Walla Walla, WA 99362-8817 | 2017-12-07 |
| 1891200291 | William Lloyd Thompson | Physical Therapist | 1313 N 13th Ave, Walla Walla, WA 99362-8817 | 2017-12-06 |
| 1598282634 | Teddi Rose Armstrong | Nurse Practitioner | 1313 N 13th Ave, Walla Walla, WA 99362-8817 | 2017-08-29 |
| 1588093280 | Jennifer Lauren Meyers | Physician Assistant | 1313 N 13th Ave, Walla Walla, WA 99362-8817 | 2013-11-04 |
| 1942545710 | Jo Ella Lee Phillips | Physician Assistant | 1313 N 13th Ave, Walla Walla, WA 99362-8817 | 2012-12-06 |
| 1164713558 | Washington State Penitentiary | Clinic/Center | 1313 N 13th Ave, Walla Walla, WA 99362-8817 | 2011-04-20 |
| 1811206717 | Hugo Jonathan Reyes | Physician Assistant | 1313 N 13th Ave, Walla Walla, WA 99362-8817 | 2010-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065959 | Kevin Gia-minh Phan | Optometrist | Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 | 2019-10-24 |
| 1659836401 | Arlene Lavonne Whitney | Social Worker | 1361 Dalles Military Road, Walla Walla, WA 99362 | 2019-02-06 |
| 1053880674 | Julie Ann Cooke | Speech-Language Pathologist | Providence St. Mary Medical Center, 401 W. Poplar St., Walla Walla, WA 99362 | 2018-11-14 |
| 1558887133 | Chantey Walker | Massage Therapist | 1840 Pleasant St, Walla Walla, WA 99362 | 2017-08-16 |
| 1447798723 | Carrie S Diede | Speech-Language Pathologist | 410 West Poplar Street, Rehabilitation Services, Walla Walla, WA 99362 | 2017-02-07 |
| 1235584103 | Anchor Point Counseling Pllc | Clinic/Center | 2330 Eastgate St. Ste. 140, Walla Walla, WA 99362 | 2016-04-28 |
| 1548627011 | Washington State Walla Walla Veterans Home | Skilled Nursing Facility | 92 Wainwright Drive, Walla Walla, WA 99362 | 2016-01-28 |
| 1073926200 | Sherry Goff | Registered Nurse | 11120 W Rose St, Family Medical Center, Walla Walla, WA 99362 | 2014-06-05 |
| 1538597935 | Michael Wade Gillespie | Orthopaedic Surgery | 101 Brookside Drive, Walla Walla, WA 99362 | 2013-10-22 |
| 1023357985 | Sandra Kay Bushnell | Speech-Language Pathologist | 1105 Isaacs Ave, Walla Walla, WA 99362 | 2013-02-12 |
| Find all providers in zip 99362 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588958995 | Ghorbanian Pllc | Dentist | 1648 Plaza Way, Walla Walla, WA 99362-4325 | 2011-06-02 |
| 1063545366 | Ronald Graham Mcentire | Dentist | 342 Catherine St, Walla Walla, WA 99362-3057 | 2007-03-14 |
| 1841387156 | Cameron Sayre Stewart | Dentist | 860 S 2nd, Suite D, Walla Walla, WA 99362-4072 | 2006-10-06 |
| 1801900840 | A S Pearson Jr Dds Ps | Dentist | 121 W Poplar Street, Suite A, Walla Walla, WA 99362 | 2006-08-18 |
| 1700438793 | Tanner Dahl | Dentist | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2019-07-10 |
| 1821544792 | Cameron S. Stewart | Dentist | 860 S 2nd Ave, Suite D, Walla Walla, WA 99362-4072 | 2016-08-30 |
| 1821449273 | Nathan E. Bushman | Dentist | 342 Catherine St, Walla Walla, WA 99362-3057 | 2016-06-28 |
| 1134475445 | Patty Lynn Martin | Dentist | 2014 S Howard St, Walla Walla, WA 99362-4532 | 2012-07-24 |
| 1023379633 | Stuart Dental LLC | Dentist | 1545 Business One Cir, Walla Walla, WA 99362-9526 | 2012-05-31 |
| 1154656684 | Rachel Deininger | Dentist | 342 Catherine St, Walla Walla, WA 99362-3057 | 2009-10-16 |
| Find all providers in WALLA WALLA | ||||
| City | WALLA WALLA |
| Zip Code | 99362 |
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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.