Preston Charles Maxim (NPI# 1427090042, PAC ID# 2860564598) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1427090042 |
| PAC ID by PECOS | 2860564598 |
| Professional Enrollment ID | I20161011003040 |
| Full Name | Preston Charles Maxim |
| Organization Legal Name | INNOVA EMERGENCY MEDICAL ASSOCIATES PC |
| Address |
1313 E 32nd St Silver City NM 88061-7251 |
| Phone Number | 5755384000 |
| Gender | M |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2860633435 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320016 | GILA REGIONAL MEDICAL CENTER |
| 031311 | LITTLE COLORADO MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1313 E 32nd St, Silver City, NM 88061-7251 | 5755384000 | INNOVA EMERGENCY MEDICAL ASSOCIATES PC |
| 1501 N Williamson Ave, Winslow, AZ 86047-2735 | 8444666827 | INNOVA EMERGENCY MEDICAL ASSOCIATES PC |
| Organization Legal Name | INNOVA EMERGENCY MEDICAL ASSOCIATES PC |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacey L Mitchell | Nurse Practitioner | Innova Emergency Medical Associates PC | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 |
| Angela Renee York | Nurse Practitioner | Innova Emergency Medical Associates PC | 410 Benedicta Ave, Trinidad, CO 81082-2005 |
| Andrew Rucker | Nurse Practitioner | Innova Emergency Medical Associates PC | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 |
| Adam G Dawson | Emergency Medicine | Innova Emergency Medical Associates PC | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 |
| Jimmie Mccraw | Nurse Practitioner | Innova Emergency Medical Associates PC | 1313 E 32nd St, Silver City, NM 88061-7251 |
| Ruth Bennett | Family Medicine | Innova Emergency Medical Associates PC | 1313 E 32nd St, Silver City, NM 88061-7251 |
| Janelle Estrada | Emergency Medicine | Innova Emergency Medical Associates PC | 1501 N Williamson Ave, Winslow, AZ 86047-2735 |
| Stefan A Merrill | Emergency Medicine | Innova Emergency Medical Associates PC | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 |
| Edward J Tognacci | Emergency Medicine | Innova Emergency Medical Associates PC | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 |
| Elisha Richard Bremmer | Emergency Medicine | Innova Emergency Medical Associates PC | 1501 N Williamson Ave, Winslow, AZ 86047-2735 |
| Street Address |
1313 E 32ND ST |
| City | SILVER CITY |
| State | NM |
| Zip | 88061-7251 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dennis Gutierrez Vera | Certified Registered Nurse Anesthetist (crna) | 1313 E 32nd St, Silver City, NM 88061-7251 | |
| Michael G Christensen | Certified Registered Nurse Anesthetist (crna) | Gila Regional Medical Center | 1313 E 32nd St, Silver City, NM 88061-7251 |
| Syed Mahdi | Internal Medicine | Ess Hospitalist LLC | 1313 E 32nd St, Silver City, NM 88061-7251 |
| Barbara J Yoon | Nurse Practitioner | Ess Hospitalist LLC | 1313 E 32nd St, Silver City, NM 88061-7251 |
| James B Burke | Diagnostic Radiology | Rural Radiology Associates Pllc | 1313 E 32nd St, Gila Regional Medical Center, Silver City, NM 88061-7251 |
| Jimmie Mccraw | Nurse Practitioner | Innova Emergency Medical Associates PC | 1313 E 32nd St, Silver City, NM 88061-7251 |
| Ruth Bennett | Family Medicine | Innova Emergency Medical Associates PC | 1313 E 32nd St, Silver City, NM 88061-7251 |
| Cynthia P Moreno | Nurse Practitioner | Gila Regional Medical Center | 1313 E 32nd St, Silver City, NM 88061-7251 |
| Gregory B Iwaasa | Podiatry | Gila Regional Medical Center | 1313 E 32nd St, Silver City, NM 88061-7251 |
| Ana T Arizaga-morales | Psychiatry | Gila Regional Medical Center | 1313 E 32nd St, Silver City, NM 88061-7251 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Merrill Deon Cook | Chiropractic | 512 Hwy 180 W, Silver City, NM 88061-4400 | |
| Susanne Kee | Clinical Social Worker | 1120 N W St, Silver City, NM 88061-4600 | |
| John Allen Rogers | Chiropractic | 1205 N W St, Silver City, NM 88061-4635 | |
| Nicholas M Mittica Jr. | Ophthalmology | 604 W Spring St, Silver City, NM 88061-4847 | |
| Patricia A Barsch | Psychologist, Clinical | 300 W Yankie St, Silver City, NM 88061-4938 | |
| Anne E Van Ausdall | Clinical Social Worker | 301 W College Ave, Suite 7, Silver City, NM 88061-5002 | |
| Anne A Veenstra | Clinical Social Worker | 301 W College Ave, Suite 12, Silver City, NM 88061-5002 | |
| Lisa L Houston | Clinical Psychologist | 301 W College Ave, Suite 11, Silver City, NM 88061-5002 | |
| Ann L Estensen | Physical Therapy | Suzanne Inc | 310 W 11th St, Desert Springs Physical Therapy, Silver City, NM 88061-5113 |
| Suzanne T Graves | Physical Therapy | Suzanne Inc | 310 W 11th St, Desert Springs Physical Therapy, Silver City, NM 88061-5113 |
| Find all physicians in zip 88061 | |||
| City | SILVER CITY |
| Zip Code | 88061 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SILVER CITY + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Preston Charles Maxim.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.