Active NPI
John A Maxwell, M.D.
- Diagnostic Radiology Physician
- Lake Jackson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- J2189
- Practice address
- 100 Medical Drive
Lake Jackson, TX 77566-5674 - Phone
- (979) 285-1937
- NPI assigned
- Feb 27, 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | J2189 | TX | Primary |
Addresses
Primary practice location
100 Medical Drive
Lake Jackson, TX 77566-5674
Mailing address
PO Box 1547
Sedalia, MO 65302-1547
Phone (660) 826-5960
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00675466 | Other | TX | RR MEDICARE |
| 116444404 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J2189 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Susan Nichols Hostetter M D P a | Diagnostic Radiology | Past | Accepting new patients |
Locations
1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845
6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092
6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
8633 Broadway St
Ste 109
Pearland, TX 77584
Phone (281) 412-3916
6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537
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.
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1487811766
-
dba Denton Radiology
- Diagnostic Radiology Physician
- Denton, TX
- NPI 1851342125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426723200000",
"number": "1902872369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1547",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653021547",
"telephone_number": "660-826-5960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL DRIVE",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775665674",
"telephone_number": "979-285-1937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "JOHN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2015-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "J2189",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00675466",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116444404",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Jackson, TX
- Robert Paul Massey II, DC
- Kaitlyn Adelle Matejowsky
- Clinton Matkins, DDS
- Christi M Matteck, RDH
- Maureen J Meehl Bipolar/BPD Founation (The Meehl Foundation)
- Max Carroll Mays, DDS
- Samantha B McCarey, NP
- Jamee Lowery McClure, SLP
- McCrae Management and Investments, LTD. (NewSound Hearing Aid Centers)
- Ashton Marie McDonald, MS,LPA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.