Active NPI
Mark S Maxwell, AUD
- Audiologist
- Glendale, AZ
National Provider Identifier
1770921884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- DA8304
- Practice address
- 18700 N 64TH Dr
Ste 201
Glendale, AZ 85308-7109 - Phone
- (623) 566-4718
- NPI assigned
- Jun 11, 2013
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | DA8304 | AZ | Primary |
Addresses
Primary practice location
18700 N 64TH Dr
Ste 201
Glendale, AZ 85308-7109
Mailing address
9097 E Desert Cove Ave
Ste 260
Scottsdale, AZ 85260-6279
Phone (480) 273-8510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9097 E Desert Cove Ave
Suite 250
Scottsdale, AZ 85260-6278
Phone (480) 847-1193
9250 W Thomas Rd
Suite 350
Phoenix, AZ 85037-3385
Phone (623) 848-8890
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.58 of 100
- Quality
- 71.49
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Arizona Ear Nose and Throat PC | Past | Accepting new patients | |
| Valley ENT, PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Otolaryngology Physician
- Scottsdale, AZ
- NPI 1508990185
-
- Otolaryngology Physician
- Flagstaff, AZ
- NPI 1558449900
-
- Otolaryngology Physician
- Tucson, AZ
- NPI 1770852600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370908800000",
"number": "1770921884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9097 E DESERT COVE AVE",
"address_2": "STE 260",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606279",
"telephone_number": "480-273-8510",
"fax_number": "480-214-9933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18700 N 64TH DR",
"address_2": "STE 201",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853087109",
"telephone_number": "623-566-4718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "MARK",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-11",
"last_updated": "2013-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AZ",
"license": "DA8304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.