Maxey Dell McKnight Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F6935 Issued in TX

Practice address

1181 Lytle Way
Suite F
Abilene, TX 79602-4299

Phone

(325) 701-4818

Fax

(325) 701-4429

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Eastland Memorial Hospital District

  • Skilled Nursing Facility
  • Abilene, TX
  • NPI 1134517311

  Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eastland Memorial Hospital District

  • Skilled Nursing Facility
  • Abilene, TX
  • NPI 1134517311
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240790400000",
    "number": "1184729964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 LYTLE WAY",
            "address_2": "SUITE F",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796024299",
            "telephone_number": "325-701-4818",
            "fax_number": "325-701-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 LYTLE WAY",
            "address_2": "SUITE F",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796024299",
            "telephone_number": "325-701-4818",
            "fax_number": "325-701-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKNIGHT",
        "first_name": "MAXEY",
        "middle_name": "DELL",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2009-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F6935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James McIntosh, DDS
• Renee Shirley McIntosh, DDS
• Russell Dean McKeever, P.T.
• Jennifer S McKelvy, PA-C
• Tania McKinney, L.A.T.
• Erika McLean, M.S., CCC-SLP
• Marcus Landon McLean, O.D.
• John Russell McLen, MMFY
• Patty Lou McMahan, PT
• Sharina D'Ann McMahon, M.S., CCC/SLP

• Family Medicine Physician in Abilene, TX
• Providers in Abilene, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.