Michael J. Maximov, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9450 Issued in AZ

Practice address

4910 N Sabino Canyon Rd
Tucson, AZ 85750-6428

Phone

(520) 760-0741

Fax

(520) 760-9508

NPI assigned

Aug 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Quality of Life Medical Centers, LLC

  • Integrative Medicine Physician
  • Tucson, AZ
  • NPI 1508824855
  NPD
• Tucson Medical Center

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1174512792
  NPD (past)
• Tucson Medical Center

  • Psychiatric Hospital Unit
  • Tucson, AZ
  • NPI 1881683126
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1376556068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N EL DORADO PL",
            "address_2": "SUITE 670",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154637",
            "telephone_number": "520-751-8280",
            "fax_number": "520-751-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 N SABINO CANYON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857506428",
            "telephone_number": "520-760-0741",
            "fax_number": "520-760-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXIMOV",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "9450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Alice Max-Deah, NP
• Robert E Maxam, SA-C
• Sandra Jo Maxedon, PH.D.
• Kevin Q Maxey, MD
• Maxim Healthcare Services, Inc.
• Maximum Impact Physical Therapy Services, LLC
• Maureen Maxon, PH.D.
• Maxwell Aesthetics PC
• Annie Maxwell, RN
• Gwendolyn Sue Maxwell, M.D. , F.A.C.S.

• Internal Medicine Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.