DR. WILLIAM MAXWELL (NPI# 1588648323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588648323 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM MAXWELL |
| Credential | M.D |
| Practice Address |
43 Baxter Blvd Portland ME 04101-1823 |
| Practice Telephone | 2077756381 |
| Practice Fax Number | 2077753378 |
| Mailing Telephone | 2077756381 |
| Mailing Fax Number | 2077753378 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
007249 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | ANTHEM BLUE SHIELD INDIV | 002415 | 01 |
| ME | CIGNA GROUP NUMBER | M2990 | 01 |
| ME | CIGNA INDIV ID NUMBER | M20008401 | 01 |
| ME | AETNA PROV NUMBER | 1040592 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043576028 | William Anthony Maxwell | Chiropractor | 13501 Ranch Road 12, Suite 111, Wimberley, TX 78676-5353 | 2012-04-04 |
| 1477537389 | William Frank Maxwell | Chiropractor | 221 South Cherry St., Shell Rock, IA 50670-0635 | 2005-12-05 |
| 1518045780 | William Robert Maxwell | Physical Therapist | 746 E Aurora Rd, Suite 7, Macedonia, OH 44056-2732 | 2006-11-02 |
| 1629082185 | William W Maxwell Jr. | Obstetrics & Gynecology | 1250 8th Ave Ste 430, Fort Worth, TX 76104-4144 | 2006-07-28 |
| 1205898681 | William Andrew Maxwell | Ophthalmology | 1360 E Herndon Ave, Suite 401, Fresno, CA 93720-3326 | 2006-04-03 |
| 1619948031 | William G Maxwell | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123-1810 | 2006-02-01 |
| Street Address |
43 BAXTER BLVD |
| City | PORTLAND |
| State | ME |
| Zip Code | 04101-1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619488004 | Carolyn Michelle Lebeis | Speech-Language Pathologist | 43 Baxter Blvd, Portland, ME 04101-1823 | 2017-10-12 |
| 1720502628 | Keith James Bourgeois | Nurse Practitioner | 43 Baxter Blvd, Portland, ME 04101-1823 | 2017-08-01 |
| 1720533821 | Melissa Graziani | Audiologist | 43 Baxter Blvd, Portland, ME 04101-1823 | 2016-08-18 |
| 1982056347 | Megan Lynne Black | Nurse Practitioner | 43 Baxter Blvd, Portland, ME 04101-1823 | 2016-07-11 |
| 1942681168 | Katelyn Bennett | Physical Therapist | 43 Baxter Blvd, Portland, ME 04101-1823 | 2015-06-12 |
| 1679834030 | Karen Tartakoff | Audiologist | 43 Baxter Blvd, Portland, ME 04101-1823 | 2012-06-01 |
| 1700190519 | Gretchen F Preneta | Physician Assistant | 43 Baxter Blvd, Portland, ME 04101-1823 | 2010-08-04 |
| 1821325804 | Kevin M Burke | Otolaryngology | 43 Baxter Blvd, Portland, ME 04101-1823 | 2009-11-11 |
| 1275772691 | Michelle Allen Rioux | Physical Therapist | 43 Baxter Blvd, Portland, ME 04101-1823 | 2009-02-09 |
| 1922259324 | Donna Lynne Greenwood | Internal Medicine | 43 Baxter Blvd, Portland, ME 04101-1894 | 2008-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450655 | Jocylin Egan | Nurse Practitioner | 442 Congress Street, 2nd Floor, Portland, ME 04101 | 2020-09-03 |
| 1255963559 | Portcity Home Healthcare LLC | In Home Supportive Care | 525 Forest Avenue, Suite 8, Portland, ME 04101 | 2020-02-05 |
| 1578101929 | Mohamed Hassan Mohamed | Student in an Organized Health Care Education/Training Program | 75 Lancaster St Ste 218a, Portland, ME 04101 | 2019-12-17 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| 1093379224 | Alexandra Strawbridge Maurer | Acupuncturist | 50 A Cove Street, Portland, ME 04101 | 2019-04-23 |
| 1245719541 | Scott J Whited | Nurse Practitioner | 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 | 2018-08-08 |
| 1144733064 | Alixandria Elaine Marie Winchell | Massage Therapist | One City Center, Portland, ME 04101 | 2017-11-14 |
| 1417473638 | Rachel S Schwaner | Occupational Therapist | 78 Danforth Street, Apartment 6, Portland, ME 04101 | 2017-08-18 |
| 1023538154 | Derina Boothroyd | Audiologist-Hearing Aid Fitter | 985 Forest Ave., Portland, ME 04101 | 2017-06-20 |
| 1881123297 | Mark Mccullough | Social Worker | 57 Exchange Street, Suite 403, Portland, ME 04101 | 2017-06-08 |
| Find all providers in zip 04101 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134461478 | Deniz Gerecci | Otolaryngology | 3181 Sw Sam Jackson Park Rd, Ohsu, Portland, OR 97239-3011 | 2013-03-25 |
| 1093944258 | Christina Marie Mimikos | Otolaryngology | 1250 Forest Ave Ste 301, Portland, ME 04103 | 2009-07-09 |
| 1184810400 | Head and Neck Surgical Associates | Otolaryngology | 1250 Forest Ave, Suite 301, Portland, ME 04103-1889 | 2007-09-20 |
| 1184684599 | Head and Neck Surgical Associates, Pa | Otolaryngology | 1250 Forest Ave, Suite 301, Portland, ME 04103-1884 | 2006-03-28 |
| 1174511158 | Christopher B Murry | Otolaryngology | 1250 Forest Ave, Suite 301, Portland, ME 04103-1884 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548456866 | Head and Neck Surgical Associates | Otolaryngology | 244 Kennedy Memorial Dr, Suite G, Waterville, ME 04901-4538 | 2007-09-20 |
| 1508052150 | Head and Neck Surgical Associates | Otolaryngology | 55 Main St, Bridgton, ME 04009-1117 | 2007-09-18 |
| 1508052143 | Head and Neck Surgical Associates | Otolaryngology | 6 Wellspring Rd, Biddeford, ME 04005-9415 | 2007-09-18 |
| 1265628804 | Head and Neck Surgical Associates | Otolaryngology | 193 Main St, Norway, ME 04268-5645 | 2007-09-18 |
| 1003806118 | Joseph Neil Wilson | Otolaryngology | 140 Academy St, Presque Isle, ME 04769 | 2005-10-28 |
Please comment or provide details below to improve the information on DR. WILLIAM MAXWELL.
| 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.