Organization Active NPI

Maxwell Medical Services, Inc

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
National Provider Identifier
1720034275
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0040222 Issued in TX
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
016908801MedicaidTX
016908802MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930041016 TX DME Supplier - Medical Supply Company 7214058650 Practice locations: San Antonio, TX

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Maxwell Medical Services Inc506 E Ramsey Rd, San Antonio, TX 78216-4657(210) 340-2217 Commodes, Urinals, Bedpans|Penile Pumps|Ostomy Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Surgical Dressings Accepts assignmentParticipating since Jun 2, 1999

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.