Mervet El Assal Maximous, MD

Key facts

NPI

1467519751

Entity type

Individual (NPI type 1)

Primary specialty

Physical Medicine & Rehabilitation Physician 208100000X

License

0101053050 (VA)

Practice address

416 Durant St
South Hill, VA 23970-1614

Phone

(434) 774-2500

Fax

(434) 447-4704

NPI assigned

Jan 3, 2007

Sex

Female

Sole proprietor

Yes

Organizations & group practices 3

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.

• American Orthopedic and Rehabilitation Association PC Physical Medicine & Rehabilitation Physician · South Hill, VA · NPI 1194882498
  NPD (past) Authorized official PHYSICAL MEDICINE & REHABILITATION
• American Orthopedic and Rehab Orthopaedic Surgery Physician · Emporia, VA · NPI 1770813461
  NPD (past)
• Potomac Pain and Rehabilitation Associates, LLC Physical Medicine & Rehabilitation Physician · La Plata, MD · NPI 1285850479
  NPD (past) PHYSICAL MEDICINE & REHABILITATION

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467519751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 456",
            "city": "BRACEY",
            "state": "VA",
            "postal_code": "239190456",
            "telephone_number": "434-774-2500",
            "fax_number": "434-447-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 DURANT ST",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239701614",
            "telephone_number": "434-774-2500",
            "fax_number": "434-447-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL ASSAL MAXIMOUS",
        "first_name": "MERVET",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0101053050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hill, VA

• Patrick E Dowling, MD
• Dr. Yolanda C. Robinson, DDS, P.C
• Beverly Driver, RN
• Kelsey Easter
• Laura Wrenn Edwards, NP
• Nemer Junior El Mouallem, M.D.
• Elton H. Brown III OD PC
• Erika W Scruggs LPC PLLC
• Essentials Home Care
• Stacy J Eubanks, S.L.P.

All providers in South Hill, VA · Physical Medicine & Rehabilitation Physician in Virginia