Organization Active NPI

Maxwell Medical Group

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1689070591
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22876 Issued in AZ
Legal business name
MAXWELL MEDICAL GROUP
Practice address
11000 N Scottsdale Rd
#225
Scottsdale, AZ 85254-5235
Phone
(602) 508-8055
Fax
(602) 508-8325
NPI assigned
Nov 5, 2014
Last updated
Nov 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Authorized official

Name
Hal B Wilson, M.D.NPI 1851397624
Title
President
Phone
(602) 508-8055

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22876 AZ Primary

Addresses

Primary practice location

11000 N Scottsdale Rd
#225
Scottsdale, AZ 85254-5235

Mailing address

11000 N Scottsdale Rd
#225
Scottsdale, AZ 85254-5235
Phone (602) 508-8055

National Provider Directory

National Provider Directory

Locations

11000 N Scottsdale Rd
Ste 225
Scottsdale, AZ 85254
Phone (602) 508-8055

Practitioners & affiliated clinicians

Practitioners 1

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": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1689070591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 N SCOTTSDALE RD",
            "address_2": "#225",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545235",
            "telephone_number": "602-508-8055",
            "fax_number": "602-508-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 N SCOTTSDALE RD",
            "address_2": "#225",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545235",
            "telephone_number": "602-508-8055",
            "fax_number": "602-508-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXWELL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "HAL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-508-8055",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "22876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.