MS. MARY S MAXWELL (NPI# 1669469235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669469235 |
| Entity Type | Individual |
| Full Name | MS. MARY S MAXWELL |
| Credential | M.D. |
| Practice Address |
4107 Medical Pkwy Ste 210 Austin TX 78756-3738 |
| Mailing Address |
4107 Medical Pkwy #210 Austin TX 78756-3735 |
| Practice Telephone | 5124514488 |
| Practice Fax Number | 5124532707 |
| Mailing Telephone | 5124514488 |
| Mailing Fax Number | 5124532707 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2016-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
H0613 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 131432004 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831214089 | Mary F Maxwell | Physical Therapy Assistant | 11855 H G Trueman Rd, Gateau Physical Therapy, Lusby, MD 20657 | 2007-03-20 |
| 1952829178 | Mary E Maxwell | Physician Assistant | 165 Clinic Ave, Carrollton, GA 30117-4413 | 2017-09-08 |
| 1407135361 | Mary Octavia Maxwell | Counselor | 1604 N Washington Ave, Durant, OK 74701-2128 | 2011-08-10 |
| 1376697722 | Mary Maxwell | Nurse Practitioner | 30 Washington Street, About Women By Women, Wellesley, MA 02481-5568 | 2007-01-23 |
| 1487749636 | Mary E Maxwell | Nurse Practitioner | 1445 Portland Ave, Parnell Office Bldg, Ste 304, Rochester, NY 14621-3036 | 2006-10-04 |
| 1841383569 | Mary Jane Maxwell | Psychologist | 11 E 75th St, Suite 1b, New York, NY 10021-2639 | 2006-10-02 |
| 1841308921 | Mary Louise Maxwell | Social Worker | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2006-08-28 |
| 1649265265 | Mary Maxwell | Anesthesiology | 1175 58th Ave, Ste 202, Greeley, CO 80634-4807 | 2005-09-20 |
| Street Address |
4107 MEDICAL PKWY STE 210 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78756-3738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063823383 | Michelle Martin | Physician Assistant | 4107 Medical Pkwy Ste 210, Austin, TX 78756-3738 | 2014-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911347 | Sjel Diagnostics of Austin, Pllc | Electrodiagnostic Medicine | 3800 North Lamar Blvd Suite 200, Austin, TX 78756 | 2020-10-27 |
| 1801377874 | Rachel Gabriela Valdez | Counselor | 1508 North Street, Austin, TX 78756 | 2018-08-27 |
| 1225537111 | Lydian Dental Burnet Pllc | Dentist | 5531 Burnet Rd, Austin, TX 78756 | 2018-02-06 |
| 1508306432 | Quinton Dailey | Physical Therapist | 4000 Medical Pkwy Ste 100, Austin, TX 78756 | 2017-02-25 |
| 1316495757 | Nicole Williams Counseling | Clinic/Center | 3906 North Lamar Blvd, Suite 204 D, Austin, TX 78756 | 2016-09-14 |
| 1720431554 | John Graham Reed | Dentist | 4106 Marathon Blvd Ste A, Austin, TX 78756 | 2016-07-17 |
| 1720464779 | Kasey D Kuehler | Counselor | 3709 Medical Parkway, Suite 100, Austin, TX 78756 | 2015-07-31 |
| 1720497126 | Holly Elizabeth Bullion | Nurse Practitioner | 1101 W 40th St # 102, Austin, TX 78756 | 2014-08-11 |
| 1538506233 | Jessica Swanson | Emergency Medicine | 1400 St North I-35, Suite C2.230, Austin, TX 78756 | 2013-06-04 |
| 1740537836 | Austin Regional Home Care Inc. | Home Health | 3810 Medical Parkway, Suite 115, Austin, TX 78756 | 2012-08-08 |
| Find all providers in zip 78756 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841634854 | Michael L. Krol | Internal Medicine | 1108 Lavaca St Ste 110-320, Austin, TX 78701-2172 | 2013-04-20 |
| 1558530048 | Denise Rene Moraw | Internal Medicine | 9007 Rock Way Dr, Austin, TX 78736-7731 | 2008-02-28 |
| 1548319916 | Leslie Ludwig Cortes | Internal Medicine | 12401 Research Blvd Ste 220, Austin, TX 78759-2314 | 2007-01-09 |
| 1679598718 | Peggy M Russell | Internal Medicine | 1108 Lavaca St, 110-320, Austin, TX 78701-2172 | 2006-07-12 |
| 1780681163 | George Randolph Robison | Internal Medicine | 1000 Payton Gin Rd, Ste S, Austin, TX 78758-6766 | 2005-06-30 |
| 1558789487 | Joan E Lange | Internal Medicine | 1108 Lavaca St Ste 110-320, Austin, TX 78701-2172 | 2014-03-28 |
| 1063774602 | Steven K. Booton, M.d., P.a. | Internal Medicine | 720 W 34th St, Suite 100, Austin, TX 78705-1205 | 2012-06-11 |
| 1013247980 | Harden Clinical Services LLC | Internal Medicine | 3307 Northland Dr, Austin, TX 78731-4946 | 2009-12-28 |
| 1801055587 | Sarah Elizabeth Matt | Internal Medicine | 6448 E Hwy 290, Suite # D-103, Austin, TX 78723-1068 | 2008-06-06 |
| 1396887691 | Archie Dan Smith Jr. | Internal Medicine | 1215 Red River, Austin, TX 78701-1921 | 2007-02-13 |
| Find all providers in AUSTIN | ||||
Please comment or provide details below to improve the information on MS. MARY S 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.