EDWARD MAXWELL (NPI# 1710119425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710119425 |
| Entity Type | Individual |
| Full Name | EDWARD MAXWELL |
| Credential | M.D. |
| Practice Address |
2250 Hayes St Ste 302 San Francisco CA 94117 |
| Practice Telephone | 4157505995 |
| Practice Fax Number | 4156663144 |
| Mailing Telephone | 4157505995 |
| Mailing Fax Number | 4156663144 |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2015-12-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A 109141 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENSE# | A109141 | 01 |
| CA | SANTA CRUZ COUNTY MEDI-CAL PROVIDER # | FHC 70042F | 01 |
| CA | DEA# | FM1583435 | 01 |
| CA | SANTA CRUZ COUNTY MEDICARE GROUP PTAN# | ZZZ92069Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659454882 | Edward Nisbet Maxwell Jr. | Psychiatry & Neurology | 245 Fountain Ct Ste 225, Lexington, KY 40509-1888 | 2006-10-23 |
| 1972515831 | Edward Maxwell | Physician Assistant | 4800 Fredericksburg Rd, Suite 127, San Antonio, TX 78229-3628 | 2006-08-12 |
| Street Address |
2250 HAYES ST STE 302 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396748893 | Kenneth B. Fechtner | Physical Medicine & Rehabilitation | 2250 Hayes St, San Francisco, CA 94117-1013 | 2005-05-27 |
| 1558614933 | Golden Gate Optical LLC | Eyewear Supplier (Equipment, not the service) | 2250 Hayes St, Ste. 208, San Francisco, CA 94117-1078 | 2012-10-22 |
| 1518226067 | Richard Gerber M.d., Inc. | Internal Medicine | 2250 Hayes St, Suite 206, San Francisco, CA 94117-1078 | 2012-05-03 |
| 1821361700 | Colin J Traynor | Podiatrist | 2250 Hayes St, Suite 4a, San Francisco, CA 94117-1078 | 2012-02-22 |
| 1689963118 | James Lesher | Surgery | 2250 Hayes St, Ste 302, San Francisco, CA 94117 | 2011-04-05 |
| 1770887598 | Yanling Xu | Internal Medicine | 2250 Hayes St, Suite 504 &300, San Francisco, CA 94117-1078 | 2011-01-09 |
| 1558686477 | Cerine Jeanty | Surgery | 2250 Hayes St, Ste 302, San Francisco, CA 94117 | 2010-04-03 |
| 1881832210 | Stephanie Kim Wong | Internal Medicine | 2250 Hayes St, Suite 204, San Francisco, CA 94117-1078 | 2009-01-22 |
| 1609011394 | Pac Lap Inc | Surgery | 2250 Hayes St, Third Floor, San Francisco, CA 94117-1078 | 2008-12-09 |
| 1346494010 | Salugen Medical Group | Internal Medicine | 2250 Hayes St, Suite 206, San Francisco, CA 94117-1078 | 2008-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497231765 | Tsz Ching Isaac Chung | Counselor | 2020 Hayes Street, San Francisco, CA 94117 | 2018-07-19 |
| 1124578901 | Michelle Elizabeth Cohen | Nurse Practitioner | 350 Parnassus Ave Ste 908, San Francisco, CA 94117 | 2016-10-05 |
| 1235686346 | Amy Burtelow | Massage Therapist | 425 Divisadero Street Suite 300, San Francisco, CA 94117 | 2016-09-07 |
| 1851790430 | Elissa Stevens | Counselor | 1757 Waller Street, San Francisco, CA 94117 | 2014-08-19 |
| 1831508043 | Colmed Laboratories & Radiology | Clinical Medical Laboratory | 560 Haight Street #104, San Francisco, CA 94117 | 2014-08-13 |
| 1972917847 | Radha Yerneni | Internal Medicine | 450 Stanyan St Fl 6, San Francisco, CA 94117 | 2014-06-18 |
| 1811333594 | Julia Wong | Counselor | 425 Divisadero Street, Suite 300, San Francisco, CA 94117 | 2013-05-21 |
| 1740623529 | Cody Elizabeth Berry | Social Worker | 425 Divisadero, Suite 300, San Francisco, CA 94117 | 2013-04-11 |
| 1235471848 | Steven Ryan Vidrine | Psychiatry & Neurology | 350 Parnassus Ave Ste 201, San Francisco, CA 94117 | 2013-03-21 |
| 1699043810 | Podiatry Plan Inc | Podiatrist | 1353b Haight Street, San Francisco, CA 94117 | 2011-12-02 |
| Find all providers in zip 94117 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730792102 | Oladapo Tomori | Psychiatry & Neurology | Ginger, 116 New Montgomery Street, Suite 500, San Francisco, CA 94105 | 2020-08-26 |
| 1811524754 | Brightside Medical of New Jersey, P.C. | Psychiatry & Neurology | 156 2nd Street, San Francisco, CA 94105 | 2020-03-23 |
| 1841826211 | Richard Daniel Morgese | Psychiatry & Neurology | 98 Clarendon Ave, San Francisco, CA 94114-2102 | 2020-03-18 |
| 1356848436 | Ketamine Treatment Centers of California PC | Psychiatry & Neurology | 1700 California St Ste 450, San Francisco, CA 94109-4592 | 2018-04-06 |
| 1336648690 | Abilash Gopal Md PC | Psychiatry & Neurology | 2161 Union St Ste 3, San Francisco, CA 94123-4003 | 2018-02-01 |
| 1023542529 | Aneesh Nandam | Psychiatry & Neurology | 401 Parnassus Ave, Box-0984, San Francisco, CA 94143-0984 | 2017-04-12 |
| 1689107526 | Jennifer Lee | Psychiatry & Neurology | 401 Parnassus Avenue, Box-0984, San Francisco, CA 94143-0984 | 2017-04-07 |
| 1346772266 | Meitri Collaborative | Psychiatry & Neurology | 500 Sutter St Ste 503, San Francisco, CA 94102-1114 | 2017-03-30 |
| 1962859371 | Zhong Ye-bates | Psychiatry & Neurology | 801 Indiana St Unit 562, San Francisco, CA 94107-3660 | 2016-05-17 |
| 1114373370 | Daniel Peixoto Irby | Psychiatry & Neurology | 360 Post St Ste #500, San Francisco, CA 94108 | 2016-05-06 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94117 |
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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.