Maxx Medical Inc

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

MAXX MEDICAL INC

Practice address

10554 Success LN Ste a
Dayton, OH 45458-3657

Phone

(937) 438-9500

Fax

(937) 886-5694

NPI assigned

Feb 8, 2022

Organization subpart

No

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

Authorized official

Name

Sheila Petrequin

Title

Billing Manager

Phone

(937) 438-9500

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Warren Hinman, MD

  • Physical Medicine & Rehabilitation Physician
  • Kettering, OH
  • NPI 1720308547
  NPD (past)
• Michael Patrick Lorey, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Beavercreek, OH
  • NPI 1922631761
  NPD (past)

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1457005464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10554 SUCCESS LN STE A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454583657",
            "telephone_number": "937-438-9500",
            "fax_number": "937-886-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10554 SUCCESS LN STE A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454583657",
            "telephone_number": "937-438-9500",
            "fax_number": "937-886-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXX MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "PETREQUIN",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "937-438-9500"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sagger Hameed Mawri, M.D.
• Kasandra Maxwell
• Kate Maxwell
• Melodie Grace Maxwell
• Patrick Maxwell, CDCA
• Robin Michelle May-Lee
• Danielle C May, APRN, FNP-BC, RRT
• Sandhiya Ravichandran May
• Sasha May
• Savannah Nicole May, MA CCC-SLP

• Point of Service in Dayton, OH
• Providers in Dayton, OH by specialty
• Point of Service in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.