DOUGLAS MAXWELL


Address: 1350 E County Line Rd, Suite L, Indianapolis, IN 46227-0873
Phone: 3178658530

DOUGLAS MAXWELL (NPI# 1043205800) 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) 1043205800
Entity Type Individual
Full Name DOUGLAS MAXWELL
Credential MD
Practice Address 1350 E County Line Rd
Suite L
Indianapolis
IN 46227-0873
Mailing Address 8935 N Meridian St
Suite 200
Indianapolis
IN 46260-5379
Practice Telephone 3178658530
Practice Fax Number 3178658539
Mailing Telephone 3175642132
Mailing Fax Number 3175744737
Enumeration Date 2005-09-16
Last Update Date 2008-07-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
01022037A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 100099210 05

Other Providers DOUGLAS MAXWELL

NPI Name Taxonomy Address Enumeration
1205999133 Douglas Courtney Maxwell Dentist 2415 Andover Dr, Valdosta, GA 31602-1280 2006-12-19
1548367352 Douglas F Maxwell Psychoanalyst 43 Clarkson St, New York, NY 10014-3616 2006-09-20

Office Location

Street Address 1350 E COUNTY LINE RD
SUITE L
City INDIANAPOLIS
State IN
Zip Code 46227-0873

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194066811 Indiana Neuroscience Associates Psychiatry & Neurology 1350 E County Line Rd, Ste E, Indianapolis, IN 46227-0873 2013-03-05
1649529462 Central Indiana Pulmonary Consultants, LLC Internal Medicine 1350 E County Line Rd, Suite H, Indianapolis, IN 46227-0873 2012-09-07
1770754046 Thomas J. Martin, M.d. Family Medicine 1350 E County Line Rd, Suite I, Indianapolis, IN 46227-0873 2008-03-14
1659447480 Edmund L. Rapp, D.d.s., M.s.d., P.C. Clinic/Center 1350 E County Line Rd, Suite G, Indianapolis, IN 46227-0873 2006-11-24
1902993645 Shlomo M. Hellerstein, M.d. Specialist 1350 E County Line Rd, Suite J, Indianapolis, IN 46227-0873 2006-10-06
1407961253 Rcg Indiana, L.L.C. Clinic/Center 1350 E County Line Rd, Suite L, Indianapolis, IN 46227-0873 2006-08-20
1881606812 Cardiosom, LLC Durable Medical Equipment & Medical Supplies 1350 E County Line Rd, Suite D, Indianapolis, IN 46227-0873 2006-08-11
1528076007 Indiana Cardiac and Vascular Consultants Specialist 1350 E County Line Rd, Suite J, Indianapolis, IN 46227-0873 2006-08-03
1326069162 Indiana Cardiac & Vascular Consultants Specialist 1350 E County Line Rd, Suite J, Indianapolis, IN 46227-0873 2006-07-21
1134154255 Indiana Cardiac & Vascular Consultants, LLC Specialist 1350 E County Line Rd, Suite H, Indianapolis, IN 46227-0873 2006-07-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679184477 Zachry Skinner Specialist/Technologist 1683 E Hanna Ave, Indianapolis, IN 46227 2020-08-14
1104481415 Corinne Mcdonald Music Therapist 7502 Madison Avenue, Indianapolis, IN 46227 2019-05-02
1205318649 Kesha Conner Counselor 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 2018-09-01
1609369719 Victoria Lynn West Arnold Physician Assistant 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 2018-06-13
1518466960 Debra Cottongim Physical Therapy Assistant 6329 South East St, Ste A, Indianapolis, IN 46227 2018-02-12
1962943019 Fresenius Medical Care Indiana, LLC Clinic/Center 6826 Madison Ave, Indianapolis, IN 46227 2017-03-09
1205386687 Kylie Rochelle Bontrager Dentist 3658 East Street, Indianapolis, IN 46227 2016-10-10
1013371137 Kayla Ford Occupational Therapist 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 2016-04-06
1639551344 Sara Allyn Shrivastav Technician, Other 3711 E Southport Rd, Indianapolis, IN 46227 2015-06-18
1598146565 Theodore Christian Seger Family Medicine 610 E Southport Rd Ste 205, Indianapolis, IN 46227 2015-06-15
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215463955 William Louis Macias Internal Medicine 9129 Log Run Dr S, Indianapolis, IN 46234-1343 2017-05-01
1679924013 Peter Eloho Umukoro Internal Medicine 950 W Walnut St Rm 202, Indianapolis, IN 46202 2016-06-27
1215270897 Lori Wanko Internal Medicine 8205 E 56th St Ste 250, Indianapolis, IN 46216-1097 2013-04-01
1265747703 Yasser Aldurra Internal Medicine 8330 Naab Rd Ste 234, Indianapolis, IN 46260-1932 2010-08-09
1982850244 William Henry Dick Internal Medicine 6737 La Tour Cir, Indianapolis, IN 46278-1546 2008-08-18
1104922582 Nephrology Associates of Indianapolis, LLC Internal Medicine 6350 Rucker Rd, Suite 103, Indianapolis, IN 46220-4893 2006-09-15
1013943109 Nephrology & Internal Medicine, Inc. Internal Medicine 5510 S East St, Indianapolis, IN 46227-1938 2006-06-23
1285682054 Sisir K Dhar Internal Medicine 12256 Wayside Rd, Indianapolis, IN 46256-9432 2006-05-04
1194780403 Timothy A Sutton Internal Medicine 950 W Walnut St, E 276, Indianapolis, IN 46202-5188 2006-04-19
1114982642 Mindaugas Zekonis Internal Medicine 1801 N. Senate Blvd, Suite 355, Indianapolis, IN 46202-1252 2006-04-18
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Competitor

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City INDIANAPOLIS
Zip Code 46227

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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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