Active NPI
Marjorie F Maxwell, RN
- Pulmonary Disease Physician
- Waukesha, WI
National Provider Identifier
1750810784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 200060-30
- Practice address
- 2823 N University Dr Apt 104
Waukesha, WI 53188-1428 - Phone
- (847) 644-0266
- NPI assigned
- Jun 4, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 200060-30 | WI | Primary |
Addresses
Primary practice location
2823 N University Dr Apt 104
Waukesha, WI 53188-1428
Mailing address
2823 N University Dr Apt 104
Waukesha, WI 53188-1428
Phone (847) 644-0255
Other practice location 1
2823 N University Dr Apt 104
Waukesha, WI 53188-1428
Phone (847) 644-0266
Other practice location 2
2823 N. University Drive
Apt. 104
Waukesha, WI 53188
Phone (847) 644-0266
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200060-30 | WI | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1750810784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2823 N UNIVERSITY DR APT 104",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531881428",
"telephone_number": "847-644-0255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2823 N UNIVERSITY DR APT 104",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531881428",
"telephone_number": "847-644-0266"
}
],
"practiceLocations": [
{
"address_1": "2823 N University Dr Apt 104",
"address_purpose": "LOCATION",
"city": "Waukesha",
"state": "WI",
"postal_code": "531881428",
"country_code": "US",
"telephone_number": "847-644-0266",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2823 N. University Drive",
"address_2": "Apt. 104",
"address_purpose": "LOCATION",
"city": "Waukesha",
"state": "WI",
"postal_code": "53188",
"country_code": "US",
"telephone_number": "847-644-0266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAXWELL",
"first_name": "MARJORIE",
"middle_name": "F",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-04",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WI",
"license": "200060-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.