DANIEL LEE MAXWELL (NPI# 1205071552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205071552 |
Entity Type | Individual |
Full Name | DANIEL LEE MAXWELL |
Practice Address |
150 Clinic Ave Ste 101 Carrollton GA 30117-4402 |
Practice Telephone | 7708340873 |
Practice Fax Number | 7708346118 |
Mailing Telephone | 7708340873 |
Mailing Fax Number | 7708346118 |
Enumeration Date | 2008-12-15 |
Last Update Date | 2018-10-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
080787 | GA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033636022 | Daniel Taylor Maxwell | Physical Medicine & Rehabilitation | 500 E 84th Ave Ste B14, Thornton, CO 80229-5311 | 2017-08-29 |
1073738142 | Daniel Davis Maxwell | Specialist | 20265 Water Mark Pl, Potomac Falls, VA 20165-5134 | 2007-04-16 |
1093752156 | Daniel L Maxwell | Internal Medicine | 1501 W Chisholm Street, Alpena, MI 49707 | 2006-05-31 |
1457746687 | Daniel William Maxwell | Surgery | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2015-04-03 |
1679917124 | Daniel Maxwell | Student in an Organized Health Care Education/Training Program | 5201 Harry Hines Blvd, Graduate Medical Education, Dallas, TX 75235-7708 | 2013-04-26 |
1841451366 | Daniel J. Maxwell | Pharmacist | 5171 Sam Jared Dr, Murfreesboro, TN 37130-1382 | 2008-06-17 |
1881682771 | Daniel Robert Maxwell | Optometrist | 101 Clinton St, Ste 1000, Defiance, OH 43512 | 2005-10-13 |
Street Address |
150 CLINIC AVE STE 101 |
City | CARROLLTON |
State | GA |
Zip Code | 30117-4402 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518183789 | Bryan P Kirby | Anesthesiology | 150 Clinic Ave Ste 101, Carrollton, GA 30117-4402 | 2007-04-17 |
1013568740 | Matthew Henderson | Nurse Practitioner | 150 Clinic Ave Ste 101, Carrollton, GA 30117-4402 | 2019-09-24 |
1033579230 | Carrollton Orthopaedic Clinic PC | Pharmacy | 150 Clinic Ave Ste 101, Carrollton, GA 30117-4402 | 2016-03-01 |
1275937054 | Sonia Davis | Registered Nurse | 150 Clinic Ave Ste 101, Carrollton, GA 30117 | 2014-10-22 |
1366773590 | Samantha Hammond | Registered Nurse | 150 Clinic Ave Ste 101, Carrollton, GA 30117-4402 | 2010-01-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
Find all providers in zip 30117 |
Taxonomy Code | 207XX0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Foot and Ankle Surgery |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134546625 | Rishin Jatin Kadakia | Orthopaedic Surgery | 100 Woodruff Cir, Suite 327, Atlanta, GA 30322-0001 | 2014-03-24 |
1326333402 | Michelle Coleman | Orthopaedic Surgery | 57 Executive Park S Ste 120, Atlanta, GA 30329-2248 | 2011-06-16 |
1992704514 | Steven Louis Shapiro | Orthopaedic Surgery | 6715 Forest Park Dr, Savannah, GA 31406-2507 | 2005-07-15 |
1194387571 | Nathaniel A Ptak | Orthopaedic Surgery | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2019-07-05 |
1487140950 | Kanesha Monique Gillyard | Orthopaedic Surgery | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2018-07-07 |
1952697336 | Michael Gary Hull | Orthopaedic Surgery | 300 Tower Rd Ne Ste 200, Marietta, GA 30060 | 2011-06-23 |
1275601171 | Perimeter Orthopaedics, P.C. | Orthopaedic Surgery | 5673 Peachtree Dunwoody Rd, Suite 825, Atlanta, GA 30342 | 2006-12-01 |
1477623098 | Paul Victor Spiegl Sr. | Orthopaedic Surgery | 5673 Peachtree Dunwoody Rd Ne, Suite 825, Atlanta, GA 30342-1731 | 2006-11-09 |
1861562381 | Lamar L Fleming | Orthopaedic Surgery | 49 Jesse Hill Jr Dr Se, Suite 311, Atlanta, GA 30303-3049 | 2006-11-09 |
1669484903 | William Scott Kimmerly | Orthopaedic Surgery | 2001 Peachtree Rd Ne, Ste 705, Atlanta, GA 30309-1476 | 2006-08-13 |
Find all providers with the same taxonomy |
City | CARROLLTON |
Zip Code | 30117 |
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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.