Maxis Medical Services

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS008778L Issued in PA

Legal business name

MAXIS MEDICAL SERVICES

Doing business as

endless mountain medical clinic

Practice address

Main Street
Clifford, PA 18413-0120

Phone

(570) 222-5200

Fax

(570) 222-5201

NPI assigned

Jun 19, 2007

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

President

Phone

(570) 281-1001

Specialties & licenses 1

Addresses

Other names 1

• endless mountain medical clinic Doing business as

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1396940300",
    "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": "570-281-1315",
            "fax_number": "570-281-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAIN STREET",
            "city": "CLIFFORD",
            "state": "PA",
            "postal_code": "184130120",
            "telephone_number": "570-222-5200",
            "fax_number": "570-222-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIS MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "VAUTRINOT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-281-1001"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS008778L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "endless mountain medical clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clifford Family Chiropractic
• Clifford Township Volunteer Fire Company
• Sandra Cosklo, DO
• Endless Mountains Pharmacy Inc (Endless Mountains Pharmacy)
• Ladies Auxiliary of the Clifford Township Volunteer Fire Company
• Jared M Shayka, PHARMD
• Russell Paul Swetter, DDS
• William Scott Wagner, PHARMD

• Internal Medicine Physician in Clifford, PA
• Providers in Clifford, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.