Maxwell Aesthetics PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

21869 Issued in AZ

Legal business name

MAXWELL AESTHETICS PC

Practice address

2490 E River Rd
Tucson, AZ 85718-6522

Phone

(520) 751-1225

Fax

(520) 751-2008

NPI assigned

Feb 15, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gwendolyn S Maxwell, M.D.

Title

President

Phone

(520) 751-1225

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266192000000",
    "number": "1063734200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 E RIVER RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857186522",
            "telephone_number": "520-751-1225",
            "fax_number": "520-751-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 E RIVER RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857186522",
            "telephone_number": "520-751-1225",
            "fax_number": "520-751-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXWELL AESTHETICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-15",
        "last_updated": "2010-02-15",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-751-1225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "21869",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "41438",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Q Maxey, MD
• Maxim Healthcare Services, Inc.
• Michael J. Maximov, M.D.
• Maximum Impact Physical Therapy Services, LLC
• Maureen Maxon, PH.D.
• Annie Maxwell, RN
• Gwendolyn Sue Maxwell, M.D. , F.A.C.S.
• Kate Marie Maxwell
• Mark E Maxwell, MD
• Reynelda Felder Maxwell, MA, CART, LPC

• Specialist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.