Active NPI
Robert P Maixner, M.D.
- Pediatrics Physician
- Spokane, WA
National Provider Identifier
1801826359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD00015556
- Practice address
- 235 E Rowan Ave
Ste 117
Spokane, WA 99207-1240 - Phone
- (509) 489-2823
- NPI assigned
- Jul 3, 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 | MD00015556 | WA | Primary |
Addresses
Primary practice location
235 E Rowan Ave
Ste 117
Spokane, WA 99207-1240
Mailing address
PO Box 421
Liberty Lake, WA 99019-0421
Phone (509) 489-2823
Other practice location 1
1919 S Grand Blvd
Spokane, WA 99203-2347
Phone (509) 747-3081
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1230101 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rmaixner309398@wm.providencedirect.org | Direct |
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 |
|---|---|---|---|
| MD00015556 | WA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1801826359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 421",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990190421",
"telephone_number": "509-489-2823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 E ROWAN AVE",
"address_2": "STE 117",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992071240",
"telephone_number": "509-489-2823"
}
],
"practiceLocations": [
{
"address_1": "1919 S Grand Blvd",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992032347",
"country_code": "US",
"telephone_number": "509-747-3081",
"fax_number": "509-455-8462",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAIXNER",
"first_name": "ROBERT",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD00015556",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1230101",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rmaixner309398@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1919 S Grand Blvd",
"city": "Spokane",
"state": "WA",
"country_code": "US",
"postal_code": "992032347",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.