Maxis Medical Services

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

OS005206L Issued in PA

Legal business name

MAXIS MEDICAL SERVICES

Doing business as

maxis women's health services

Practice address

141 Salem Ave
Suite G2
Carbondale, PA 18407-2574

Phone

(570) 281-1120

NPI assigned

Mar 2, 2007

Last updated

Jul 20, 2007By 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

Mary Theresa Vautrinot

Title

Ceo

Phone

(570) 281-1001

Specialties & licenses 1

Addresses

Other names 1

• maxis women's health services Doing business as

Locations

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1356479919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 517",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184070517",
            "telephone_number": "570-281-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 SALEM AVE",
            "address_2": "SUITE G2",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184072574",
            "telephone_number": "570-281-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIS MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "VAUTRINOT",
        "authorized_official_first_name": "MARY THERESA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-281-1001"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PA",
            "license": "OS005206L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "maxis women's health services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marian Community Hospital
• Marian Community Hospital
• Dana Marie Marmo, MS CRC
• Joseph C Marzzacco, DPM
• Ashley Masters
• Maxis Medical Services (pediatric care)
• Maxis Medical Services (maxis surgical services)
• Maxis Medical Services
• Brian Keith McCormick
• Kristen McGee, COTA/L

• Gynecology Physician in Carbondale, PA
• Providers in Carbondale, PA by specialty
• Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.