TERRY R MAXON (NPI# 1033190608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033190608 |
Entity Type | Individual |
Full Name | TERRY R MAXON |
Credential | M.D. |
Practice Address |
6707 N 19th Ave Suite 200 Phoenix AZ 85015-1104 |
Practice Telephone | 6022494750 |
Practice Fax Number | 6022494814 |
Mailing Telephone | 6022494750 |
Mailing Fax Number | 6022494814 |
Enumeration Date | 2005-11-09 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 4717 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | DEA | AM7386724 | 01 |
Street Address |
6707 N 19TH AVE SUITE 200 |
City | PHOENIX |
State | AZ |
Zip Code | 85015-1104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225019896 | Eric Duquella | Internal Medicine | 6707 N 19th Ave, Suite 200, Phoenix, AZ 85015-1104 | 2005-11-09 |
1356722920 | Hawkeye Foot and Ankle LLC | Clinic/Center | 6707 N 19th Ave, Phoenix, AZ 85015-1104 | 2015-06-09 |
1033596770 | Smi Imaging, LLC | Clinic/Center | 6707 N 19th Ave, Suite 101, Phoenix, AZ 85015-1104 | 2015-05-01 |
1447509583 | Laura Heath | Podiatrist | 6707 N 19th Ave, Phoenix, AZ 85015-1104 | 2012-09-05 |
1811219702 | Smi Imaging, LLC | Radiology | 6707 N 19th Ave, Suite 108, Phoenix, AZ 85015-1104 | 2010-02-19 |
1043461171 | Desert Kids Pediatrics Plc | Pediatrics | 6707 N 19th Ave, Ste 109, Phoenix, AZ 85015-1105 | 2008-10-07 |
1164681490 | Ronald P. Steinbach | Chiropractor | 6707 N 19th Ave, Suite 102, Phoenix, AZ 85015-1104 | 2008-06-02 |
1073794566 | Clinical Associates In Internal Medicine, Ltd | Specialist | 6707 N 19th Ave, Suite 200, Phoenix, AZ 85015-1104 | 2007-11-26 |
1790904282 | Associated Foot & Ankle Specialists Plc | Podiatrist | 6707 N 19th Ave, Suite 103, Phoenix, AZ 85015-1104 | 2007-04-24 |
1922132414 | Michael Jerome Hervey II | Family Medicine | 6707 N 19th Ave, Ste 222, Phoenix, AZ 85015-1106 | 2007-03-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
Find all providers in zip 85015 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
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. |
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1114576162 | Caring Doctor LLC | Internal Medicine | 27412 N 58th Ln, Phoenix, AZ 85083-7394 | 2019-09-11 |
1417500034 | Contrast Medical Pllc | Internal Medicine | 813 E Fairmount Ave, Phoenix, AZ 85014-4708 | 2019-07-23 |
1386106045 | Key Medical Solutions LLC | Internal Medicine | 1120 E Waltann Ln, Phoenix, AZ 85022-3531 | 2019-04-02 |
1700350261 | Nierenberg Associates,pa | Internal Medicine | 1800 E Van Buren St # 605, Phoenix, AZ 85006-3742 | 2019-01-17 |
1952875783 | Vpa PC | Internal Medicine | 7600 N 15th St Ste 165b, Phoenix, AZ 85020-4305 | 2019-01-15 |
1568944148 | Avicenna Integrative Medicine Plc | Internal Medicine | 4429 N 44th St, Phoenix, AZ 85018 | 2018-08-30 |
1053803676 | Ahwatukee Health Care, LLC | Internal Medicine | 16515 S 40th St Ste 119, Phoenix, AZ 85048-0559 | 2018-05-30 |
1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
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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.