Maxwell Medical PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME67256 Issued in FL

Legal business name

MAXWELL MEDICAL PLLC

Practice address

4020 US 27 N
Sebring, FL 33870-1333

Phone

(863) 314-0020

Fax

(863) 314-0024

NPI assigned

Sep 21, 2007

Last updated

Feb 5, 2024By 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. Marvin D Maxwell, M.D.NPI 1720001209

Title

Owner

Phone

(863) 314-0020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HHFDAA

Practitioners 4

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.

• Marvin Dwight Maxwell, MD

  • Family Medicine Physician
  • Sebring, FL
  • NPI 1720001209
  Medicare reassignment NPD Authorized official
• Asia Yelena Bristol Reyes, APRN, FNP-C

  • Family Nurse Practitioner
  • Sebring, FL
  • NPI 1396427597
  Medicare reassignment NPD
• Anya Khan, APRN

  • Gerontology Nurse Practitioner
  • Sebring, FL
  • NPI 1699542092
  Medicare reassignment NPD
• Kenneth O'Dell, MD

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1154778975

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1366638454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 US 27 N",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701333",
            "telephone_number": "863-314-0020",
            "fax_number": "863-314-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 US 27 N",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701333",
            "telephone_number": "863-314-0020",
            "fax_number": "863-314-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXWELL MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-314-0020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME67256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "CJ8463",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryam Masood
• Mata Health LLC (Orion Kidney Services)
• Orland Mata, MSN, ARNP-BC
• Angela Mathew
• Alexis Mathura, D.O.
• Marvin Dwight Maxwell, MD
• Gregory Austin May, DO
• Osiel Maya
• Vandy Nichole Mayworth, ARNP
• Ali M Maziad, MD, PHD

• Family Medicine Physician in Sebring, FL
• Providers in Sebring, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.

Verify at the official NPI Registry.