DR. JEFFRY CHRISTOPHER MAXWELL


Address: 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750
Phone: 4804569000

DR. JEFFRY CHRISTOPHER MAXWELL (NPI# 1790939502) 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) 1790939502
Entity Type Individual
Full Name DR. JEFFRY CHRISTOPHER MAXWELL
Credential MD
Practice Address 6424 E Broadway Rd Ste 101
Mesa
AZ 85206-1750
Mailing Address 1201 S Alma School Rd
Mesa
AZ 85210-2008
Practice Telephone 4804569000
Mailing Telephone 4805458119
Mailing Fax Number 4808926805
Enumeration Date 2008-11-06
Last Update Date 2019-02-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
48888 AZ Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
2013009617 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 916449 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1201 S Alma School Rd, Mesa, AZ 852102008 4805458119 4808926805

Office Location

Street Address 6424 E BROADWAY RD STE 101
City MESA
State AZ
Zip Code 85206-1750

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609865559 Joseph E. Wagner Radiology 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 2005-10-13
1689155673 Jedidiah Johnson Radiology 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 2018-08-27
1033652516 David Randal Hyatt Radiology 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 2016-12-01
1790046399 Manisha Surendra Raythatha Radiology 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 2012-05-31
1205197829 Douglas Smoot Lewis Internal Medicine 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 2012-05-30
1649536376 Robert Thomas Crowder Jr. Radiology 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 2012-04-06
1326279738 Anh Dao Radiology 6424 E Broadway Rd Ste 101, Mesa, AZ 85206 2009-08-03
1235364803 Jared Criddle Radiology 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 2009-05-26
1740446582 Matthew Del Giudice Radiology 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 2008-07-31
1356503478 Robert F Hanna Radiology 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 2008-06-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720693062 Inner Balance Counseling LLC Counselor 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 2020-09-14
1356978969 Choices 4 Change Counseling and Coaching LLC Social Worker 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 2020-03-24
1023651288 Jason Mcclure Hearing Instrument Specialist 5540 E Broadway Rd., Mesa, AZ 85206 2019-10-21
1255995361 Vhs of Phoenix Inc General Acute Care Hospital 5750 E. Baseline Rd., Mesa, AZ 85206 2019-04-24
1932682184 Adam Fishel Frose Psychologist 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 2018-09-13
1376024737 Robyn Kathleen Hall Psychologist 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 2018-08-23
1790264984 Perspective Health, LLC Clinic/Center 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 2018-08-09
1033605159 Rebecca Ann Maro Nurse Practitioner 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 2018-07-02
1982195624 Spark Performance and Physiotherapy Clinic/Center 6056 East Basline Road, Suite 147, Mesa, AZ 85206 2018-05-29
1336645993 Ashley Wright Audiologist-Hearing Aid Fitter 1423 S Higley Rd Ste 119, Mesa, AZ 85206 2018-04-03
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225361454 Smi Imaging, LLC Radiology 1425 S Greenfield Rd Bldg 2, Suite 114, Mesa, AZ 85206-5505 2009-09-04
1780817940 Smi Imaging, LLC Radiology 1457 W Southern Ave Ste 26, Mesa, AZ 85202-4862 2009-09-03
1801029103 Smi Imaging, LLC Radiology 130 S 63rd St Ste 123, Mesa, AZ 85206-1604 2009-09-02
1396701397 Michelle Lee Dorsey Radiology 3850 E Huber St, Unit 1, Mesa, AZ 85205-3912 2006-04-26
1942285531 Phoenix Diagnostic Imaging Inc Radiology 1111 S Dobson Rd, Mesa, AZ 85202-3902 2005-12-07
1306835020 Karen B. Garby Radiology 1457 W Southern Ave, Suite 26, Mesa, AZ 85202-4813 2005-10-14
1861481731 Monty D. Snow Radiology 1125 E Southern Ave, Suite 300, Mesa, AZ 85204-5045 2005-10-13
1609865559 Joseph E. Wagner Radiology 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 2005-10-13
1336757699 Arizona Diagnostic Radiology Group, LLC Radiology 2653 W Guadalupe Rd, Mesa, AZ 85202-7200 2020-07-22
1063052793 Steward Radiology Physicians of Arizona Inc Radiology 1301 S Crismon Rd, Mesa, AZ 85209-3767 2020-01-10
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Competitor

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City MESA
Zip Code 85206

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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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