Active NPI
Catherine S Maxwell, MD
- Geriatric Medicine (Internal Medicine) Physician
- Akron, OH
National Provider Identifier
1760442610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 35-044804
- Practice address
- 75 Arch St
Ste. G2
Akron, OH 44304-1429 - Phone
- (330) 375-4100
- Fax
- (330) 375-4097
- NPI assigned
- Mar 24, 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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 35-044804 | OH | Primary |
Addresses
Primary practice location
75 Arch St
Ste. G2
Akron, OH 44304-1429
Mailing address
75 Arch St
Ste. G2
Akron, OH 44304-1429
Phone (330) 375-4100
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000132187 | Other | OH | ANTHEM |
| 0883123 | Other | OH | MEDICARE ID |
| 0646359 | Medicaid | OH | |
| 0405451 | Other | OH | UNITED HEALTHCARE |
| 341458069CM | Other | OH | SUMMA CARE |
| 729761 | Other | OH | BUCKEYE COMMUNITY HEALTH |
| 0883122 | Other | OH | MEDICARE ID |
| 380001328 | Other | OH | RAILROAD MEDICARE |
| 4008725 | Other | OH | AETNA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-044804 | OH | MD | Geriatric Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322438400000",
"number": "1760442610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 ARCH ST",
"address_2": "STE. G2",
"city": "AKRON",
"state": "OH",
"postal_code": "443041429",
"telephone_number": "330-375-4100",
"fax_number": "330-375-4097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 ARCH ST",
"address_2": "STE. G2",
"city": "AKRON",
"state": "OH",
"postal_code": "443041429",
"telephone_number": "330-375-4100",
"fax_number": "330-375-4097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "CATHERINE",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2011-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "OH",
"license": "35-044804",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000132187",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "0883123",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0646359",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0405451",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUMMA CARE",
"identifier": "341458069CM",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUCKEYE COMMUNITY HEALTH",
"identifier": "729761",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "0883122",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "380001328",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4008725",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.