Active NPI
Robert Arnold Maxwell, M.D.
- Pediatrics Physician
- Overland Park, KS
National Provider Identifier
1720170673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 04-16253
- Practice address
- 8901 W 74TH St
Suite 10
Overland Park, KS 66204-2204 - Phone
- (913) 362-1660
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 04-16253 | KS | Primary |
Addresses
Primary practice location
8901 W 74TH St
Suite 10
Overland Park, KS 66204-2204
Mailing address
3825 W 57TH Ter
Mission, KS 66205-3402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-16253 | KS | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Mercy-Shawnee Mission Pediatrics, Inc | Pediatrics | Past | Accepting new patients |
| Shawnee Mission Pediatrics, P.a. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Merriam, KS
- NPI 1104484245
-
- Pediatrics Physician
- Overland Park, KS
- NPI 1801988688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720170673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3825 W 57TH TER",
"city": "MISSION",
"state": "KS",
"postal_code": "662053402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 W 74TH ST",
"address_2": "SUITE 10",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662042204",
"telephone_number": "913-362-1660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "ROBERT",
"middle_name": "ARNOLD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KS",
"license": "04-16253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.