Organization Active NPI

William S. Maxfield, M.D., LLC

  • Diagnostic Radiology Physician
  • Odessa, FL
National Provider Identifier
1265765226
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME15266 Issued in FL
Legal business name
WILLIAM S. MAXFIELD, M.D., LLC
Practice address
8947 Donna Lu Dr
Odessa, FL 33556-1908
Phone
(813) 857-3864
Fax
(813) 920-1755
NPI assigned
Sep 9, 2009
Last updated
Sep 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Authorized official

Name
William S. Maxfield, M.D.
Title
Sole Proprietor
Phone
(813) 857-3864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X ME15266 FL Primary

Addresses

Primary practice location

8947 Donna Lu Dr
Odessa, FL 33556-1908

Mailing address

8947 Donna Lu Dr
Odessa, FL 33556-1908
Phone (813) 857-3864

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1265765226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8947 DONNA LU DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335561908",
            "telephone_number": "813-857-3864",
            "fax_number": "813-920-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8947 DONNA LU DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335561908",
            "telephone_number": "813-857-3864",
            "fax_number": "813-920-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM S. MAXFIELD, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "MAXFIELD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "813-857-3864",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME15266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.