TERRY R MAXON


Address: 6707 N 19th Ave, Suite 200, Phoenix, AZ 85015-1104
Phone: 6022494750

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 4717 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ DEA AM7386724 01

Office Location

Street Address 6707 N 19TH AVE
SUITE 200
City PHOENIX
State AZ
Zip Code 85015-1104

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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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Competitor

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City PHOENIX
Zip Code 85015

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Dataset Information

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.

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