MARY E MAXWELL (NPI# 1952829178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952829178 |
| Entity Type | Individual |
| Full Name | MARY E MAXWELL |
| Credential | PA |
| Practice Address |
165 Clinic Ave Carrollton GA 30117-4413 |
| Mailing Address |
119 Ambulance Dr Ste 202 Carrollton GA 30117-3857 |
| Practice Telephone | 7708369824 |
| Practice Fax Number | 7708369850 |
| Mailing Telephone | 7708388710 |
| Mailing Fax Number | 7708388563 |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2017-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831214089 | Mary F Maxwell | Physical Therapy Assistant | 11855 H G Trueman Rd, Gateau Physical Therapy, Lusby, MD 20657 | 2007-03-20 |
| 1669469235 | Mary S Maxwell | Internal Medicine | 4107 Medical Pkwy Ste 210, Austin, TX 78756-3738 | 2005-09-29 |
| 1407135361 | Mary Octavia Maxwell | Counselor | 1604 N Washington Ave, Durant, OK 74701-2128 | 2011-08-10 |
| 1376697722 | Mary Maxwell | Nurse Practitioner | 30 Washington Street, About Women By Women, Wellesley, MA 02481-5568 | 2007-01-23 |
| 1487749636 | Mary E Maxwell | Nurse Practitioner | 1445 Portland Ave, Parnell Office Bldg, Ste 304, Rochester, NY 14621-3036 | 2006-10-04 |
| 1841383569 | Mary Jane Maxwell | Psychologist | 11 E 75th St, Suite 1b, New York, NY 10021-2639 | 2006-10-02 |
| 1841308921 | Mary Louise Maxwell | Social Worker | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2006-08-28 |
| 1649265265 | Mary Maxwell | Anesthesiology | 1175 58th Ave, Ste 202, Greeley, CO 80634-4807 | 2005-09-20 |
| Street Address |
165 CLINIC AVE |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-4413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700887437 | James Richard Bland II | Radiology | 165 Clinic Ave, Carrollton, GA 30117-4413 | 2005-08-03 |
| 1780879551 | Anna Marie Harris | Internal Medicine | 165 Clinic Ave, Tanner Radiation Oncology At Roy Richardson Cancer Cent, Carrollton, GA 30117-4413 | 2007-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871005736 | Revelation House Calls Inc | Physician Assistant | 1628 W Hebron Pkwy Ste 135, Carrollton, TX 75010-6335 | 2017-11-01 |
| 1336514736 | Genevieve Rochefort | Physician Assistant | 148 Liberty Way, Carrollton, VA 23314-2697 | 2015-12-10 |
| 1477793495 | Miny K. Mathew | Physician Assistant | 4325 N Josey Ln Ste 300, Carrollton, TX 75010-4638 | 2009-03-03 |
| 1003811886 | David J Scholl | Physician Assistant | 157 Clinic Ave Ste 101, Carrollton, GA 30117-4454 | 2005-06-17 |
| 1083215214 | Prital Patel | Physician Assistant | 909 S Park St, Carrollton, GA 30117-4456 | 2020-11-04 |
| 1396281416 | Stuart Smith | Physician Assistant | 705 Dixie St, Carrollton, GA 30117-3818 | 2017-01-12 |
| 1104282862 | Lindsay Nicole Deal | Physician Assistant | 4343 N Josey Ln, Carrollton, TX 75010-4603 | 2016-01-11 |
| 1124497649 | Matthew Hunt | Physician Assistant | 4333 N Josey Ln, Plaza II, Suite 302, Carrollton, TX 75010-4629 | 2015-09-15 |
| 1033517958 | Matthew Tassinari | Physician Assistant | 3012 E Hebron Pkwy, Suite 116, Carrollton, TX 75010-4464 | 2014-12-09 |
| 1508110255 | Amanda Hope Descalzo | Physician Assistant | 705 Dixie St, Carrollton, GA 30117-3818 | 2012-11-02 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
Please comment or provide details below to improve the information on MARY E 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.