Maximo B. Lockward, M.D., LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35071065 Issued in OH

Legal business name

MAXIMO B. LOCKWARD, M.D., LLC

Practice address

6714 Market St
Suite 1
Boardman, OH 44512-4500

Phone

(330) 965-5850

NPI assigned

May 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maximo B Lockward, M.D.

Title

Owner

Phone

(330) 965-5850

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235351727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6714 MARKET ST",
            "address_2": "SUITE 1",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124500",
            "telephone_number": "330-965-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6714 MARKET ST",
            "address_2": "SUITE 1",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124500",
            "telephone_number": "330-965-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMO B. LOCKWARD, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOCKWARD",
        "authorized_official_first_name": "MAXIMO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-965-5850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35071065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "35071065",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MD052597L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Desiree Lynn Maxon, PTA
• Penny J May, HIS
• Katerina Mayer, IMFT
• Cryscilla Maynard, PA-C
• Richard Scott Mayo, D.D.S.

• Psychiatry Physician in Boardman, OH
• Providers in Boardman, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.