Organization Active NPI

HKSM Medical LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Phoenix, AZ
National Provider Identifier
1659127934
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
HKSM MEDICAL LLC
Practice address
27407 N 58TH Dr
Phoenix, AZ 85083-1266
Phone
(602) 663-3830
NPI assigned
Apr 26, 2024
Last updated
Apr 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Authorized official

Name
Dr. Seth Caleb Maxwell, MDNPI 1619186459
Title
Ceo
Phone
(602) 663-3830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X
Health Service Clinic/Center 261QH0100X
Occupational Medicine Clinic/Center 261QX0100X

Addresses

Primary practice location

27407 N 58TH Dr
Phoenix, AZ 85083-1266

Mailing address

27407 N 58TH Dr
Phoenix, AZ 85083-1266
Phone (602) 663-3830

National Provider Directory

National Provider Directory

Locations

7972 W Thunderbird Rd
Ste 104
Peoria, AZ 85381
Phone (480) 360-4263

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1659127934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27407 N 58TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850831266",
            "telephone_number": "602-663-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27407 N 58TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850831266",
            "telephone_number": "602-663-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HKSM MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "CALEB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-663-3830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.