Maxx Medical Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

16920 Issued in LA

Legal business name

MAXX MEDICAL CORPORATION

Practice address

329 South Dr
Natchitoches, LA 71457-5060

Phone

(318) 238-5900

Fax

(318) 238-5901

NPI assigned

Jan 15, 2009

Last updated

Jan 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cherilynne T. Cottles, M.D.

Title

Owner/Physician

Phone

(318) 238-5900

Specialties & licenses 2

Addresses

Other names 1

• Maxx Medical Corporation Former legal business name

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1679710420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 SOUTH DR",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575060",
            "telephone_number": "318-238-5900",
            "fax_number": "318-238-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 SOUTH DR",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575060",
            "telephone_number": "318-238-5900",
            "fax_number": "318-238-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXX MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "COTTLES",
        "authorized_official_first_name": "CHERILYNNE",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "318-238-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "16920",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "LA",
            "license": "16920",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maxx Medical Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Phyllis Lynnette Mason, M.D.
• Matta Medical Clinic LLC
• Anil Matta, M.D.
• Latwana Matthew
• Shecola Dion Matthews
• Christopher A Mayeux, RPH
• Claudia Michelle Mayeux, MD
• Stephen Mayeux, PHARMD,RPH
• Leslie M McAlpin, PNP
• Pamela Ann McCalister, D.D.S.

• Clinic/Center in Natchitoches, LA
• Providers in Natchitoches, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.