Active NPI
Maxwell Medical Services, Inc
- Durable Medical Equipment & Medical Supplies
- San Antonio, TX
National Provider Identifier
1720034275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0040222
- Legal business name
- MAXWELL MEDICAL SERVICES, INC
- Practice address
- 506 E Ramsey Rd
Suite 1
San Antonio, TX 78216-4657 - Phone
- (210) 340-2217
- Fax
- (210) 855-7884
- NPI assigned
- May 26, 2006
- Last updated
- Mar 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Landon Groff
- Title
- Administrator
- Phone
- (210) 340-2217
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0040222 | TX | Primary |
| Customized Equipment (DME) | 332BC3200X | 0040222 | TX | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 0040222 | TX |
Addresses
Primary practice location
506 E Ramsey Rd
Suite 1
San Antonio, TX 78216-4657
Mailing address
506 E Ramsey Rd Ste 1
San Antonio, TX 78216-4657
Phone (210) 340-2217
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016908801 | Medicaid | TX | |
| 016908802 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930041016 | TX | DME Supplier - Medical Supply Company | 7214058650 | Practice locations: San Antonio, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Maxwell Medical Services Inc | Commodes, Urinals, Bedpans|Penile Pumps|Ostomy Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Surgical Dressings | Accepts assignment |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646784000000",
"number": "1720034275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 E RAMSEY RD STE 1",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782164657",
"telephone_number": "210-340-2217",
"fax_number": "210-855-7884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 E RAMSEY RD",
"address_2": "SUITE 1",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782164657",
"telephone_number": "210-340-2217",
"fax_number": "210-855-7884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAXWELL MEDICAL SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-26",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A",
"authorized_official_last_name": "GROFF",
"authorized_official_first_name": "LANDON",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "210-340-2217",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "0040222",
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "TX",
"license": "0040222",
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "TX",
"license": "0040222",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016908801",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016908802",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.