Active NPI
Donald P Maxwell Jr MD PLLC
- Ophthalmology Physician
- Oklahoma City, OK
National Provider Identifier
1336226661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 21520
- Legal business name
- DONALD P MAXWELL JR MD PLLC
- Practice address
- 12318 Saint Andrews Dr
Oklahoma City, OK 73120-8604 - Phone
- (405) 752-0717
- Fax
- (405) 752-0711
- NPI assigned
- Nov 1, 2006
- Last updated
- Mar 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald P Maxwell, MD
- Title
- President
- Phone
- (405) 752-0717
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 21520 | OK | Primary |
Addresses
Primary practice location
12318 Saint Andrews Dr
Oklahoma City, OK 73120-8604
Mailing address
12412 Saint Andrews Dr
Oklahoma City, OK 73120-8601
Phone (405) 752-0717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200048120A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
12412 Saint Andrews Dr
Oklahoma City, OK 73120
8211 S Walker Ave
Oklahoma City, OK 73139
Phone (405) 636-0710
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Oklahoma City, OK
- NPI 1760498695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773878400000",
"number": "1336226661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12412 SAINT ANDREWS DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731208601",
"telephone_number": "405-752-0717",
"fax_number": "405-752-0711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12318 SAINT ANDREWS DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731208604",
"telephone_number": "405-752-0717",
"fax_number": "405-752-0711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONALD P MAXWELL JR MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A",
"authorized_official_last_name": "MAXWELL",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "405-752-0717",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OK",
"license": "21520",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200048120A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.