Mark S Maxwell, DO

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

J9751 Issued in TX

Practice address

1933 Pine St
Ste a
Abilene, TX 79601-2431

Phone

(325) 674-9494

Fax

(325) 674-9493

NPI assigned

Aug 15, 2005

Last updated

Feb 20, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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

• Mark S Maxwell

  • Neurological Surgery Physician
  • Abilene, TX
  • NPI 1588613533
  NPD (past)

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1437151842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 PINE ST",
            "address_2": "STE A",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012431",
            "telephone_number": "325-674-9494",
            "fax_number": "325-674-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 PINE ST",
            "address_2": "STE A",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012431",
            "telephone_number": "325-674-9494",
            "fax_number": "325-674-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "MARK",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "J9751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "118796100",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036031501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75261819179601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randall J. Maurer, PHD
• Naika Maxime
• Maxus Healthcare Partners LLC (Renew Home Health)
• Dawson Maxwell
• Garrett Thomas Maxwell, MD
• Rebecca J Mayben, LCSW
• Karen Lynn Mayfield, PT, DPT
• Suellen Mayfield, LVN
• Mika Kay Mayo, LCDC
• Misti M Mays, NP

• Neurological Surgery Physician in Abilene, TX
• Providers in Abilene, TX by specialty
• Neurological Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.