EDWARD MAXWELL (NPI# 1972515831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972515831 |
| Entity Type | Individual |
| Full Name | EDWARD MAXWELL |
| Credential | PA |
| Practice Address |
4800 Fredericksburg Rd Suite 127 San Antonio TX 78229-3628 |
| Mailing Address |
Po Box 1239 Troy MI 48099-1239 |
| Practice Telephone | 2107335072 |
| Practice Fax Number | 2107338649 |
| Mailing Telephone | 2488246600 |
| Mailing Fax Number | 2483241477 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2013-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA01907 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA01907 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 191882301 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710119425 | Edward Maxwell | Psychiatry & Neurology | 2250 Hayes St, Ste 302, San Francisco, CA 94117 | 2009-08-13 |
| 1659454882 | Edward Nisbet Maxwell Jr. | Psychiatry & Neurology | 245 Fountain Ct Ste 225, Lexington, KY 40509-1888 | 2006-10-23 |
| Street Address |
4800 FREDERICKSBURG RD SUITE 127 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78229-3628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063494458 | Rolando Xavier Ramirez | Physician Assistant | 4800 Fredericksburg Rd, Ste 127, San Antonio, TX 78229-3628 | 2005-11-19 |
| 1902343247 | Katherine Joseph | Nurse Practitioner | 4800 Fredericksburg Rd, San Antonio, TX 78229-3628 | 2017-01-25 |
| 1881903649 | Gretchen Maria Sinclair | Nurse Practitioner | 4800 Fredericksburg Rd, Suite 127, San Antonio, TX 78229-3628 | 2010-09-28 |
| 1669645180 | Lea Ann Carver | Nurse Practitioner | 4800 Fredericksburg Rd, Ste 127, San Antonio, TX 78229-3628 | 2008-04-04 |
| 1093997488 | Holly Jo Wyder | Internal Medicine | 4800 Fredericksburg Rd, Suite 127, San Antonio, TX 78229-3628 | 2007-11-28 |
| 1376731885 | Tim Senthavisouk | Nurse Practitioner | 4800 Fredericksburg Rd, Suite 127, San Antonio, TX 78229-3628 | 2007-10-09 |
| 1124213707 | R & C Healthcare, LLC | Home Health | 4800 Fredericksburg Rd, #122, San Antonio, TX 78229-3781 | 2007-09-07 |
| 1720290711 | Carl Simpson | Preventive Medicine | 4800 Fredericksburg Rd, Suite 127, San Antonio, TX 78229-3628 | 2007-05-04 |
| 1104049592 | Tamara Jeanne Dominguez | Family Medicine | 4800 Fredericksburg Rd, Suite 127, San Antonio, TX 78229-3628 | 2007-04-11 |
| 1316042849 | Hai Van Pham | Family Medicine | 4800 Fredericksburg Rd, Ste 127, San Antonio, TX 78229-3628 | 2006-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
| 1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
| 1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
| 1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
| 1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
| Find all providers in zip 78229 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447866298 | Diana P Olivares | Physician Assistant | 8920 Quihi Way, San Antonio, TX 78254-1901 | 2020-09-17 |
| 1740893445 | Mcrm Assist, Pllc | Physician Assistant | 14546 Brook Hollow Blvd # 417, San Antonio, TX 78232-3810 | 2020-08-24 |
| 1508476086 | Matthew Gaines | Physician Assistant | 2626 Bluff Xing, San Antonio, TX 78244-1000 | 2020-08-09 |
| 1235757519 | Joseph Dominic Wechsler Jr. | Physician Assistant | 9114 Autumn Skies, San Antonio, TX 78254-1929 | 2020-07-13 |
| 1396368015 | Maureen Genov | Physician Assistant | 540 Madison Oak Dr Ste 450, San Antonio, TX 78258-3932 | 2020-05-28 |
| 1386266062 | Sun Assist, Pllc | Physician Assistant | 10650 Culebra Rd # 104-484, San Antonio, TX 78251-4949 | 2020-05-15 |
| 1134758964 | Mark Lee Nentwig | Physician Assistant | 1434 E Sonterra Blvd Ste 206, San Antonio, TX 78258-4973 | 2020-04-03 |
| 1962034694 | Christina L Russell | Physician Assistant | 525 Oak Centre Dr Ste 100, San Antonio, TX 78258-3916 | 2020-02-11 |
| 1265071203 | Caralyne Sandquist | Physician Assistant | 5510 Presidio Parkway, Building #2 Suite 2401, San Antonio, TX 78249 | 2019-12-21 |
| 1447808498 | Elizabeth Ann Blair | Physician Assistant | 24623 Birdie Rdg, San Antonio, TX 78260-7847 | 2019-09-03 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78229 |
Please comment or provide details below to improve the information on EDWARD 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.