Jon Michael Maxwell, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

35070366 Issued in OH

Practice address

227 Riverside Ave
Adrian, MI 49221-1582

Phone

(517) 263-0575

Fax

(517) 265-5188

NPI assigned

May 11, 2006

Last updated

Sep 12, 2016By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Bone & Joint Medical Center PC

  • Orthopaedic Surgery Physician
  • Ypsilanti, MI
  • NPI 1972807469
  Authorized official Same address or phone
• Bone & Joint Medical Center, PC

  • Orthopaedic Surgery Physician
  • Adrian, MI
  • NPI 1598956625
  Authorized official Same address or phone

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1487604542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 RIVERSIDE AVE",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211582",
            "telephone_number": "517-263-0575",
            "fax_number": "517-265-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 RIVERSIDE AVE",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211582",
            "telephone_number": "517-263-0575",
            "fax_number": "517-265-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "JON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "JM051623",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35070366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI BCBSM",
            "identifier": "2004600521",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1959306",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunny Rae Masterton, RPH
• Thomas K Mathew, M.D.
• Scott Mathew Mattern
• Danyelle Matthews
• Maverick Spirits LLC
• Yashica Maxwell, LLMSW, LCSW, LICSW
• Michael T McAuliffe, M.D.
• Tricia McCarty, LLPC
• Gerald Nelson McCullough, AMA, CAADC
• McCullough, Vargas, & Associates, Inc.

• Orthopaedic Surgery Physician in Adrian, MI
• Providers in Adrian, MI by specialty
• Orthopaedic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.