MAXIS MEDICAL SERVICES (NPI# 1659410504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659410504 |
| Entity Type | Organization |
| Organization Name | MAXIS MEDICAL SERVICES |
| Other Organization Name | FAMILY MEDICAL CENTER |
| Practice Address |
263 Carbondale Rd Waymart PA 18472-9113 |
| Mailing Address |
Po Box 517 Carbondale PA 18407-0517 |
| Practice Telephone | 5704885544 |
| Mailing Telephone | 5702811287 |
| Mailing Fax Number | 5702811256 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-09-27 |
| Authorized Official Name | MARY THERESA VAUTRINOT (CEO) |
| Authorized Official Telephone | 5702811315 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PENNA BLUE SHIELD | 1467916 | 01 |
| Other Name | Type Code |
|---|---|
| FAMILY MEDICAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518009414 | Maxis Medical Services | Pediatrics | 42 N Scott St, Carbondale, PA 18407-1888 | 2007-02-14 |
| 1396940300 | Maxis Medical Services | Internal Medicine | Main Street, Clifford, PA 18413-0120 | 2007-06-19 |
| 1801926951 | Maxis Medical Services | Surgery | 141 Salem Ave, Carbondale, PA 18407-2574 | 2007-03-07 |
| 1356479919 | Maxis Medical Services | Obstetrics & Gynecology | 141 Salem Ave, Suite G2, Carbondale, PA 18407-2574 | 2007-03-02 |
| 1932287331 | Maxis Medical Services | Family Medicine | 100 Lincoln Ave, Carbondale, PA 18407-2116 | 2006-11-02 |
| Street Address |
263 CARBONDALE RD |
| City | WAYMART |
| State | PA |
| Zip Code | 18472-9113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477658235 | Marci Ann Kowalewski | Physician Assistant | 263 Carbondale Rd, Box Z, Waymart, PA 18472 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393237 | Jennifer Villano | Physician Assistant | C/o Sci Waymart, Waymart, PA 18472 | 2020-10-16 |
| 1770108227 | Rhea Marie Carey | Physician Assistant | 3057 Eric J Williams Memorial Drive, Waymart, PA 18472 | 2020-06-10 |
| 1083129886 | Gods Mountain Recovery Center | Rehabilitation Counselor | 94 Adams Dr, Waymart, PA 18472 | 2017-12-04 |
| 1104286095 | Joseph Cheslick | Nurse Practitioner | 100 Route 6, Waymart, PA 18472 | 2016-03-04 |
| 1093102568 | Connie Lee Thomas | Speech-Language Pathologist | 37 Woodlands Drive, Waymart, PA 18472 | 2015-04-22 |
| 1194932483 | Janet B Eisele | Nurse Practitioner | 27b Woodlands Drive, Waymart, PA 18472 | 2007-05-17 |
| 1245456961 | Waymart Volunteer Ambulance Corps Inc | Ambulance | 28 Railroad Ln, Waymart, PA 18472 | 2007-04-18 |
| 1720191703 | Cathy Marie Salak | Dentist | 615 Roosevelt Hwy, Waymart, PA 18472 | 2006-08-16 |
| 1790798882 | Wawrzyniec Lawrence Stepczak | Internal Medicine | 29 Woodlands Drive, Waymart, PA 18472 | 2006-08-13 |
| 1306327812 | Bonnie Marie Woodruff | Nurse Practitioner | 100 Route 6, Sci Waymart, Waymart, PA 18472 | 2018-08-23 |
| Find all providers in zip 18472 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442878 | Hallie Szymanski | Family Medicine | 3481 Frye Ave, Finleyville, PA 15332-1305 | 2020-09-19 |
| 1124633672 | Upmc Community Medicine, Inc | Family Medicine | 3140 Highland Rd Ste 102, Hermitage, PA 16148-4514 | 2020-09-11 |
| 1275147647 | Rebecca Diane Yeater | Family Medicine | Wellspan Family Medicine - Fairfield, 4910 Fairfield Rd, Fairfield, PA 17320 | 2020-09-03 |
| 1497369813 | Christina Socash | Family Medicine | 11335 Neiger Rd, Girard, PA 16417-9130 | 2020-09-02 |
| 1902410673 | Geisinger Clinic | Family Medicine | 20 Diana Ln, West Hazleton, PA 18202-1210 | 2020-09-01 |
| 1457964603 | Cynthia Rainey Raposas | Family Medicine | 3552 Woodside Rd, Hollidaysburg, PA 16648-5258 | 2020-08-27 |
| 1841802592 | Community Health and Wellness Services, Inc. | Family Medicine | 312 Memorial Park Dr, Springfield, PA 19064-1714 | 2020-08-22 |
| 1649882275 | Blair Regenerative Medicine LLC | Family Medicine | 201 Hospital Dr Ste 2, Everett, PA 15537-7019 | 2020-08-17 |
| 1447861521 | Mature Resources Foundation | Family Medicine | 28944 Frenchville Karthaus Hwy, Frenchville, PA 16836-8834 | 2020-08-12 |
| 1619587227 | Cmp Medical LLC | Family Medicine | 3626 Sears St, Philadelphia, PA 19146-3217 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
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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.