DR. MICHAEL GORDON MAXWELL


Address: 4201 Belfort Rd, Jacksonville, FL 32216-1431
Phone: 9042963700

DR. MICHAEL GORDON MAXWELL (NPI# 1205823267) 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) 1205823267
Entity Type Individual
Full Name DR. MICHAEL GORDON MAXWELL
Credential M.D.
Practice Address 4201 Belfort Rd
Jacksonville
FL 32216-1431
Mailing Address 4500 San Pablo Rd S
Jacksonville
FL 32224-1865
Practice Telephone 9042963700
Mailing Telephone 9049532000
Enumeration Date 2005-10-04
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 207P00000X Emergency Medicine ME34417 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL BLUECROSS/BLUESHIELD 15572 01

Other Providers MICHAEL MAXWELL

NPI Name Taxonomy Address Enumeration
1558669242 Michael Maxwell Counselor 1701 N Greenville Ave, Suite 700, Richardson, TX 75081-6707 2011-03-04
1477603389 Michael G Maxwell Dentist 13091 W Sunrise Blvd, Sunrise, FL 33323-0904 2007-01-11
1467401752 Michael C Maxwell Family Medicine 2380 Firewheel Parkway, Ste 100, Garland, TX 75040-4023 2006-05-06
1851880389 Michael Joseph Maxwell Orthopaedic Surgery 3535 W 13 Mile Rd Ste 744, Royal Oak, MI 48073-6770 2018-05-10
1346470937 Michael Allen Maxwell Audiologist 8752 E Via De Commercio, Ste. 1, Scottsdale, AZ 85258-3396 2009-07-17
1316006372 Michael A. Maxwell Dentist 6611 Debarr Rd, Suite 100, Anchorage, AK 99504-1706 2006-12-06
1558393231 Michael S Maxwell Family Medicine 240 W Front St Ste A, Port Angeles, WA 98362-2609 2006-07-06
1346219334 Michael K Maxwell Internal Medicine 1919 S Wheeling Ave, 402, Tulsa, OK 74104 2006-03-14
1588659429 Michael W. Maxwell Emergency Medicine 305 Mallard Ln, E.r. Group, Taylor, TX 76574-1208 2005-09-16
1114926300 Michael C Maxwell Surgery 333 N Dobson Rd, Ste 15, Chandler, AZ 85224-4412 2005-07-19

Office Location

Street Address 4201 BELFORT RD
City JACKSONVILLE
State FL
Zip Code 32216-1431

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285247411 Victoria Potts Anesthesiologist Assistant 4201 Belfort Rd, Jacksonville, FL 32216-1431 2020-08-27
1003442005 Yu-chun Li Nurse Practitioner 4201 Belfort Rd, Jacksonville, FL 32216-1431 2020-03-21
1265963680 Tanner Miles Emergency Medicine 4201 Belfort Rd, Jacksonville, FL 32216-1431 2017-03-27
1437522638 Shela Towanna Mainor Physician Assistant 4201 Belfort Rd, St. Vincent's Medical Center Southside, Jacksonville, FL 32216-1431 2015-11-10
1275914269 Neonila Zhukivskyy Internal Medicine 4201 Belfort Rd, Jacksonville, FL 32216-1431 2015-06-15
1689063406 Elite Hospitalist Group Internal Medicine 4201 Belfort Rd, Jacksonville, FL 32216-1431 2015-01-16
1689929903 Lorilee Olmoguez Pharmacist 4201 Belfort Rd, Jacksonville, FL 32216-1431 2012-07-24
1518212547 Happy Farouk Sadiek Internal Medicine 4201 Belfort Rd, Jacksonville, FL 32216-1431 2012-07-16
1285991802 Kimberlie Stickney Physician Assistant 4201 Belfort Rd, Jacksonville, FL 32216-1431 2012-04-20
1235445537 Jennifer Burke Johnson Emergency Medicine 4201 Belfort Rd, Jacksonville, FL 32216-1431 2010-08-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524925 Renee Cherie Titus Behavior Technician Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 2020-09-24
1811546575 First Coast Orthopedic Center, LLC Clinic/Center 4035 Southpoint Boulevard, Jacksonville, FL 32216 2019-09-05
1922578558 Fatima Hussain Crofton Optometrist 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 2018-11-27
1154802833 John-paul Pham Internal Medicine 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 2018-08-22
1790279479 Joseph Richard Kennedy Physician Assistant 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 2018-06-18
1801304357 Kelli M. Tyson Nurse Practitioner 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 2018-01-18
1376054809 Angela M Whittinghill Counselor 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 2017-10-24
1629508072 Zoryana Yufan Dentist 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 2017-06-19
1700318896 Christina Kaczmarek Behavior Technician 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 2017-03-29
1932640422 Loudine Racius Nurse Practitioner 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 2017-03-16
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427690353 Emergency Physicians Inc Emergency Medicine 9868 Family Place, Jacksonville, FL 32222 2019-10-11
1104301159 Emergency Physicians Inc Emergency Medicine 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 2018-09-26
1922525229 Dwic of Tampa Bay, Inc Emergency Medicine 11985 Atlantic Boulevard, Jacksonville, FL 32225-2919 2017-08-28
1063945541 Hassan Mohammad Aboudan Emergency Medicine 8455 Stables Rd, Jacksonville, FL 32256-7265 2017-04-11
1639626476 Emergency Physicians Inc Emergency Medicine 11250 Baptist Health Drive, Suite 713, Jacksonville, FL 32218 2016-09-09
1497107957 Frank Rodriguez Emergency Medicine 7615 Hunters Grove Rd, Jacksonville, FL 32256-7210 2016-07-08
1649631391 Emergency Physicians Inc Emergency Medicine 4085 Town Center Pkwy, Jacksonville, FL 32246-8580 2016-03-09
1619387099 John Michael Kiel Emergency Medicine Department of Emergency Medicine, 125 Floor Clinical Ce, 655 West 8th Street, C506, Jacksonville, FL 32209-3220 2014-05-06
1225455306 James Esser Barr Emergency Medicine 653 W 8th St # L15, Jacksonville, FL 32209-6511 2014-03-26
1992122170 Nadia Bakor Emergency Medicine 6477 103rd St, Jacksonville, FL 32210-7129 2014-03-25
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 32216

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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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