Bassem Maximos, M.D., MPH, P.a.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

BASSEM MAXIMOS, M.D., MPH, P.A.

Practice address

651 N Egret Bay Blvd
Suite H
League City, TX 77573-2681

Phone

(832) 632-1333

Fax

(832) 632-1777

NPI assigned

Oct 3, 2007

Organization subpart

No

Name

Dr. Bassem Maximos, M.D.NPI 1063600013

Title

President/Manager

Phone

(832) 632-1333

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

• Bassem Maximos, MD, MPH, PA

  • Obstetrics & Gynecology Physician
  • League City, TX
  • NPI 1063600013

  Obstetrics & Gynecology, TX

  Medicare reassignment NPD Authorized official
• Marchelle Louise Yatsko, PA-C

  • Physician Assistant
  • Houston, TX
  • NPI 1952722597

  TX

  Medicare reassignment
• Holly Elizabeth Wang, FNP-C

  • Family Nurse Practitioner
  • Webster, TX
  • NPI 1871866012
  NPD
• Maggie Ann Jeffries, M.D.

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1568500106
  NPD (past)
• Raime B. Kalish, M.D.

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1285634972
  NPD (past)
• Cindy Anne Van Praag, M.D.

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1396733978
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

• Maximos OB/GYN Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 6, 2013.

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1508054552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 N EGRET BAY BLVD FM 270",
            "address_2": "SUITE H",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "77573",
            "telephone_number": "832-632-1333",
            "fax_number": "832-632-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 N EGRET BAY BLVD",
            "address_2": "SUITE H",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732681",
            "telephone_number": "832-632-1333",
            "fax_number": "832-632-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASSEM MAXIMOS, M.D., MPH, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "MAXIMOS",
        "authorized_official_first_name": "BASSEM",
        "authorized_official_title_or_position": "PRESIDENT/MANAGER",
        "authorized_official_telephone_number": "832-632-1333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maximos OB/GYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Suzanne Bankieris, M.ED., CCC-SLP
• Vinson Barnes, D.C.
• Alicia Barren, NP
• Ashlynn Nicole Barrera
• Nadine L Bartsch, PHD
• Jennifer Leah Bassett, IBCLC
• Holly Beth Bauerlein, OTR
• Scott Baumann
• Kristen Nicole Bay
• Baywind Village Inc

• All providers in League City, TX
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.