DR. JERRY RAY MAXWELL (NPI# 1801803960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801803960 |
| Entity Type | Individual |
| Full Name | DR. JERRY RAY MAXWELL |
| Credential | DPM |
| Practice Address |
600 W 15th St Edmond OK 73013-3617 |
| Practice Telephone | 4053409251 |
| Practice Fax Number | 4053400686 |
| Mailing Telephone | 4053409251 |
| Mailing Fax Number | 4053400686 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2012-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 144 | OK | Podiatric Medicine & Surgery Service Providers |
| Street Address |
600 W 15TH ST |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-3617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174555445 | Steven Walker | Podiatrist | 600 W 15th St, Edmond, OK 73013-3617 | 2006-07-07 |
| 1487266037 | Armando Carro, Jr Dpm, Inc | Podiatrist | 600 W 15th St, Edmond, OK 73013-3617 | 2020-08-17 |
| 1457535049 | Steve A. Walker | Podiatrist | 600 W 15th St, Edmond, OK 73013-3617 | 2007-12-19 |
| 1194909770 | Armando Carro, Jr Dpm, Inc | Podiatrist | 600 W 15th St, Edmond, OK 73013-3617 | 2007-12-19 |
| 1295768091 | Armando Carro | Podiatrist | 600 W 15th St, Edmond, OK 73013-3617 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619475696 | Tulsa Podiatry Clinics LLC | Podiatrist | 416 W 15th St Ste 500c, Edmond, OK 73013-3672 | 2018-01-25 |
| 1639438237 | Jason A. Lashley, D.p.m. | Podiatrist | 600 W. 15th, Edmond, OK 73013 | 2012-05-16 |
| 1952514812 | Edmond Ankle & Foot Specialists Inc | Podiatrist | 600 W 15th, Edmond, OK 73013 | 2007-05-08 |
| 1487741328 | Tracy A Hjelmstad | Podiatrist | 15318 N May Ave, Edmond, OK 73013-8864 | 2006-10-10 |
| 1174555445 | Steven Walker | Podiatrist | 600 W 15th St, Edmond, OK 73013-3617 | 2006-07-07 |
| 1841247632 | Norman Foot and Ankle Clinic PC | Podiatrist | 2553 S Kelly Ave, Ste 100, Edmond, OK 73013-3888 | 2006-05-28 |
| 1891794715 | Raymond Lee Smith | Podiatrist | 1404 E 9th St, Edmond, OK 73034-5712 | 2005-07-21 |
| 1245336015 | Dr Raymond L Smith PC | Podiatrist | 1404 E 9th St, Edmond, OK 73034-5712 | 2006-09-16 |
| 1295768091 | Armando Carro | Podiatrist | 600 W 15th St, Edmond, OK 73013-3617 | 2006-07-08 |
| 1215935358 | Barbara Jean Barrett | Podiatrist | 400 N Bryant Ave, Edmond, OK 73034-3206 | 2005-07-12 |
| Find all providers in EDMOND | ||||
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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.