Jack Maxwell (NPI# 1679585087, PAC ID# 5698791671) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1679585087 |
| PAC ID by PECOS | 5698791671 |
| Professional Enrollment ID | I20080605000577 |
| Full Name | Jack Maxwell |
| Organization Legal Name | TEXAS HEALTH PHYSICIANS GROUP |
| Address |
3600 Fm 2181 Suite 100 Hickory Creek TX 75065-7636 |
| Phone Number | 9404984422 |
| Gender | M |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4385535954 |
| Number of Group Practice Members | 933 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450634 | MEDICAL CITY DENTON |
| 450669 | MEDICAL CENTER OF LEWISVILLE |
| 450743 | TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON |
| Address | Phone | Organization |
|---|---|---|
| 3600 Fm, 2181 Suite 100, Hickory Creek, TX 75065-7636 | 9404984422 | TEXAS HEALTH PHYSICIANS GROUP |
| Organization Legal Name | TEXAS HEALTH PHYSICIANS GROUP |
| Physicians | 1023 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stuart Michnick | Orthopedic Surgery | Texas Health Physicians Group | 2900 N Interstate 35, Suite 200, Denton, TX 76201-5144 |
| Dorian P Cerrato | Nurse Practitioner | Texas Health Physicians Group | 1614 Scripture St, Suite 9, Denton, TX 76201-3838 |
| Kathryn Michelle Heine | Nurse Practitioner | Texas Health Physicians Group | 12465 Timberland Blvd, Suite 401, Fort Worth, TX 76244-5215 |
| Melissa Michelle Andersen | Nurse Practitioner | Texas Health Physicians Group | 3000 N Interstate 35, Denton, TX 76201-5119 |
| Khurram Ahmad | Interventional Cardiology | Texas Health Physicians Group | 3315 Unicorn Lake Blvd, Suite 171, Denton, TX 76210-0127 |
| Michael S. Rogers | Family Medicine | Texas Health Physicians Group | 970 N Coit Rd, Suite 3040, Richardson, TX 75080-5418 |
| John J. Christoforetti Ii | Sports Medicine | Texas Health Physicians Group | 1120 Raintree Circle, Suite 280, Allen, TX 75013-5258 |
| Kathryn Anne Guardado | Nurse Practitioner | Texas Health Physicians Group | 4504 Boat Club Rd, Suite 800, Fort Worth, TX 76135-7002 |
| Stephanie Spaight | Nurse Practitioner | Texas Health Physicians Group | 2730 Sw Wilshire Blvd, Burleson, TX 76028-8338 |
| Carrie Pedersen | Nurse Practitioner | Texas Health Physicians Group | 874 Ed Hall Dr, Suite B108, Kaufman, TX 75142-1861 |
| Street Address |
3600 FM 2181 SUITE 100 |
| City | HICKORY CREEK |
| State | TX |
| Zip | 75065-7636 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jon A Krumerman | Neurosurgery | Dallas Neurosurgical Associates Pa | 3600 Fm, 2181 Suite 200, Hickory Creek, TX 75065-7636 |
| Abbeselom P Ghermay | Anesthesiology | Dallas Neurosurgical Associates Pa | 3600 Fm, 2181 Suite 200, Hickory Creek, TX 75065-7636 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carmen Phillips White | Nurse Practitioner | 503 Main St, Suite C, Lake Dallas, TX 75065-2878 | |
| Tasneem K Agha | Anesthesiology | Greater Texas Anesthesia and Pain Management, Pa | 2002 S Stemmons Fwy, Suite 400, Lake Dallas, TX 75065-3633 |
| Jane Marie Torrie | Chiropractic | 211 Main St, Suite 150, Lake Dallas, TX 75065-3729 | |
| Suzanne L Bachman-mathews | Optometry | 3960 Fm, 2181 Suite 100, Hickory Creek, TX 75065-4248 |
| City | HICKORY CREEK |
| Zip Code | 75065 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HICKORY CREEK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jack Maxwell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.