Theresa R Maxwell (NPI# 1780887109, PAC ID# 7911071766) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1780887109 |
| PAC ID by PECOS | 7911071766 |
| Professional Enrollment ID | I20080729000078 |
| Full Name | Theresa R Maxwell |
| Organization Legal Name | DIGESTIVE HEALTH SPECIALISTS LLC |
| Address |
1011 E St Maartens Dr Saint Joseph MO 64503-2993 |
| Phone Number | 8162320185 |
| Gender | F |
| Graduation Year | 2001 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9739494832 |
| Number of Group Practice Members | 53 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260006 | MOSAIC LIFE CARE AT ST JOSEPH |
| Address | Phone | Organization |
|---|---|---|
| 1011 E St Maartens Dr, Saint Joseph, MO 64503-2993 | 8162320185 | DIGESTIVE HEALTH SPECIALISTS LLC |
| Organization Legal Name | DIGESTIVE HEALTH SPECIALISTS LLC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel W Schowengerdt | Gastroenterology | Digestive Health Specialists LLC | 5330 N Oak Trafficway, Suite 102, Kansas, MO 64118-4600 |
| Scott Ernest Mcguire | Gastroenterology | Digestive Health Specialists LLC | 1011 E St Maartens Dr, Saint Joseph, MO 64503-2993 |
| Jacqueline Sheehan | Certified Registered Nurse Anesthetist (crna) | Digestive Health Specialists LLC | 3800 S Whitney Ave, 100 Endoscopy Center, Independence, MO 64055-6739 |
| Benjamin R Alsop | Gastroenterology | Digestive Health Specialists LLC | 3800 S Whitney Ave, Independence, MO 64055-6739 |
| Darlene Clarice Miller | Certified Registered Nurse Anesthetist (crna) | Digestive Health Specialists LLC | 3800 S Whitney Ave, 100 Endoscopy Center, Independence, MO 64055-6739 |
| Kristi L Ott | Nurse Practitioner | Digestive Health Specialists LLC | 3800 S Whitney Ave, Suite 200, Independence, MO 64055-6739 |
| Amy A Waller | Nurse Practitioner | Digestive Health Specialists LLC | 3800 S Whitney Ave, Independence, MO 64055-6739 |
| Denise A Wilson | Certified Registered Nurse Anesthetist (crna) | Digestive Health Specialists LLC | 110 Ne Saint Lukes Blvd, Suite 530, Lees Summit, MO 64086-6000 |
| Andrea L Gray | Nurse Practitioner | Digestive Health Specialists LLC | 3800 S Whitney Ave, Independence, MO 64055-6739 |
| Donald J Clement | Gastroenterology | Digestive Health Specialists LLC | 5330 N Oak Trafficway, Suite 100, Kansas, MO 64118-4600 |
| Street Address |
1011 E ST MAARTENS DR |
| City | SAINT JOSEPH |
| State | MO |
| Zip | 64503-2993 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Ernest Mcguire | Gastroenterology | Digestive Health Specialists LLC | 1011 E St Maartens Dr, Saint Joseph, MO 64503-2993 |
| Francis P Mc Cormick | Gastroenterology | Digestive Health Specialists LLC | 1011 E St Maartens Dr, Saint Joseph, MO 64503-2993 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn M Gaston | Optometry | 3022 S Belt Hwy, Saint Jospeh, MO 64503-1547 |
| City | SAINT JOSEPH |
| Zip Code | 64503 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAINT JOSEPH + NURSE PRACTITIONER |
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| 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.