MR. KEVIN J MAXWELL (NPI# 1003071952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003071952 |
| Entity Type | Individual |
| Full Name | MR. KEVIN J MAXWELL |
| Credential | PA |
| Practice Address |
1111 N Lee Ave Ste 105 Oklahoma City OK 73103-2620 |
| Practice Telephone | 4056006730 |
| Practice Fax Number | 4056006750 |
| Mailing Telephone | 4056006730 |
| Mailing Fax Number | 4056006750 |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2013-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
638 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659396323 | Kevin S Maxwell | Family Medicine | 10831 Combie Rd, Suite D, Auburn, CA 95602-8953 | 2006-07-13 |
| 1184044190 | Kevin Maxwell | Radiology | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2014-04-17 |
| 1821384371 | Kevin John Maxwell | Nurse Practitioner | 6973 Linda Vista Rd, San Diego, CA 92111-6342 | 2011-06-23 |
| 1346536935 | Kevin Maxwell | Behavioral Analyst | 17501 Biscayne Blvd, Suite 500, Aventura, FL 33160-4802 | 2011-06-22 |
| 1639346935 | Kevin Hans Maxwell | Art Therapist | 920 48th St, Brooklyn, NY 11219-2918 | 2008-05-15 |
| 1134315021 | Kevin Patrick Maxwell | Counselor | 2933 El Nido Dr, Altadena, CA 91001-4529 | 2007-09-24 |
| 1477766376 | Kevin Maxwell | Counselor | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2007-05-07 |
| Street Address |
1111 N LEE AVE STE 105 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73103-2620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316994551 | Adonis S Al-botros | Psychiatry & Neurology | 1111 N Lee Ave Ste 105, Oklahoma City, OK 73103-2620 | 2006-05-30 |
| 1780184754 | Paula Jean Rother | Nurse Practitioner | 1111 N Lee Ave Ste 105, Oklahoma City, OK 73103-2620 | 2018-02-16 |
| 1942616768 | Preferred Rx, LLC | Pharmacy | 1111 N Lee Ave Ste 105, Oklahoma City, OK 73103-2620 | 2014-07-02 |
| 1871830356 | Rebecca Turner | Pharmacist | 1111 N Lee Ave Ste 105, Oklahoma City, OK 73103-2620 | 2013-01-03 |
| 1063573459 | Al-botros Pllc | Psychiatry & Neurology | 1111 N Lee Ave Ste 105, Oklahoma City, OK 73103-2620 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568946846 | Medical Center Pain Clinic, LLC | Pain Medicine | 1226 N Shartel Ave Suite 300, Oklahoma City, OK 73103 | 2018-09-21 |
| 1801321369 | Jessica Reed | Community Health Worker | 432 Nw11th St, Oklahoma City, OK 73103 | 2017-04-21 |
| 1982070975 | Retinal Care Diagnostics LLC | Ophthalmology | 1111 N Lee Ave Ste 210, Oklahoma City, OK 73103 | 2015-08-13 |
| 1316329063 | Nurturing Positive Solutions | Marriage & Family Therapist | 307 N. W. 21st Street, Oklahoma City, OK 73103 | 2015-06-18 |
| 1871916700 | Good Shepherd Ministries | Clinic/Center | 222 Nw 12th Street, Oklahoma City, OK 73103 | 2014-01-29 |
| 1275973448 | Christine Donnette Jeffers | Case Manager/Care Coordinator | 433 Nw 25 #10, Oklahoma, OK 73103 | 2013-07-02 |
| 1629327358 | Kelly Rose Whelan | Social Worker | 416 Nw 23rd St, Oklahoma City, OK 73103 | 2012-09-10 |
| 1801160585 | Susan Elizabeth Bigbie | Registered Nurse | 1214 N Hudson, Oklahoma City, OK 73103 | 2012-02-28 |
| 1548533441 | Doris Gayle Poteet | Licensed Practical Nurse | 1214 N. Hudson, Oklahoma, OK 73103 | 2012-02-23 |
| 1538440698 | Wendi J Rollins | Case Manager/Care Coordinator | 600 Nw 23, Suite 108, Oklahoma City, OK 73103 | 2011-09-02 |
| Find all providers in zip 73103 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982172029 | William Landon Ross | Physician Assistant | 3705 W Memorial Rd Ste 101, Oklahoma City, OK 73134-1508 | 2018-11-07 |
| 1639646656 | Jacob Allbritton | Physician Assistant | 10824 Admiral Dr, Oklahoma City, OK 73162-6843 | 2018-10-29 |
| 1073004768 | Shelby Teel | Physician Assistant | 1200 Everett Dr # 8305, Oklahoma City, OK 73104-5047 | 2018-05-29 |
| 1255871349 | Michele Starr | Physician Assistant | 409 Nw 39th St, Oklahoma City, OK 73118-8415 | 2017-03-08 |
| 1972042141 | Nathan Carl Kadavy | Physician Assistant | 440 N Portland Ave, Suite 1000, Oklahoma City, OK 73107-6110 | 2017-02-21 |
| 1487191946 | Neilee Wood | Physician Assistant | 8121 Nw 119th St, Oklahoma City, OK 73162-1110 | 2017-01-23 |
| 1508316530 | Shayniel Stears | Physician Assistant | 16201 Gossamer Way, Oklahoma City, OK 73165-1503 | 2016-10-13 |
| 1386016566 | D'amber Nicole Chambers | Physician Assistant | 1918 Ne 23rd St, Oklahoma City, OK 73111-3328 | 2015-10-27 |
| 1700263928 | Micaela Lupov | Physician Assistant | 101 N Robinson Ave Ste 200, Oklahoma City, OK 73102 | 2015-04-27 |
| 1710380001 | Whitney Ward | Physician Assistant | 4120 W Memorial Rd Ste 300, Oklahoma City, OK 73120-9322 | 2014-10-01 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73103 |
Please comment or provide details below to improve the information on MR. KEVIN J 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.