Mary S Maxwell, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

H0613 Issued in TX

Practice address

4107 Medical Pkwy Ste 210
Austin, TX 78756-3738

Phone

(512) 451-4488

Fax

(512) 453-2707

NPI assigned

Sep 29, 2005

Last updated

Jan 22, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Hospitalist Concepts Consulting, LLC

  • Hospitalist Physician
  • West Lake Hills, TX
  • NPI 1891842258
  NPD (past)

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453420800000",
    "number": "1669469235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 MEDICAL PKWY",
            "address_2": "#210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563735",
            "telephone_number": "512-451-4488",
            "fax_number": "512-453-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 MEDICAL PKWY STE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563738",
            "telephone_number": "512-451-4488",
            "fax_number": "512-453-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "MARY",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2016-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "H0613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131432004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Lynn Maxwell, LPC
• James S Maxwell, LPC
• John Maxwell, MD
• Laura Katie Maxwell, M.D.
• Leslie C Maxwell, D.C.
• May & Lin Acupuncture Clinic
• Robin R May-Davis, M.D.
• Amanda May, PT
• Dylan May
• Jonathan May

• Geriatric Medicine (Internal Medicine) Physician in Austin, TX
• Providers in Austin, TX by specialty
• Geriatric Medicine (Internal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.