Amy Maxwell MD PA

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

M3317 Issued in TX

Legal business name

AMY MAXWELL MD PA

Practice address

10501 Gateway Blvd W
Suite 140
El Paso, TX 79925-7934

Phone

(915) 544-7300

NPI assigned

Apr 24, 2014

Organization subpart

No

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

Authorized official

Name

Jesus Fernando Escarzaga

Title

Manager

Phone

(915) 740-5122

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1386064673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220122",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799132122",
            "telephone_number": "915-740-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 GATEWAY BLVD W",
            "address_2": "SUITE 140",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257934",
            "telephone_number": "915-544-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY MAXWELL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "ESCARZAGA",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "FERNANDO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "915-740-5122"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "M3317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.