Individual provider Active NPI

Max S Hughes, DO

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1639237258
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J2097 Issued in TX
Practice address
6302 A Jacksboro Hwy
Fort Worth, TX 76135
Phone
(817) 237-8273
Fax
(817) 237-0374
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J2097 TX Primary

Addresses

Primary practice location

6302 A Jacksboro Hwy
Fort Worth, TX 76135

Mailing address

6302 A Jacksboro Hwy
Fort Worth, TX 76135
Phone (817) 237-8273

Other names 1

  • Scott Max Hughes Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100203000131 TX Practitioner - Family Practice 7113060872 Practice locations: Fort Worth, TX; Lake Worth, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6302 A Jacksboro Hwy
Lake Worth, TX 76135

6302 Lake Worth Blvd
Suite a
Fort Worth, TX 76135-3607
Phone (817) 237-8273

6302A Jacksboro Hwy
Fort Worth, TX 76135
Phone (817) 237-8273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
J2097TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jerry T. Davis D.O.,P.a. Family Medicine Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1639237258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6302 A JACKSBORO HWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76135",
            "telephone_number": "817-237-8273",
            "fax_number": "817-237-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6302 A JACKSBORO HWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76135",
            "telephone_number": "817-237-8273",
            "fax_number": "817-237-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "MAX",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J2097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCOTT",
            "last_name": "HUGHES",
            "middle_name": "MAX",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.