Individual provider Active NPI

Jodi P Maxfield, MD

  • Obstetrics & Gynecology Physician
  • Meadville, PA
National Provider Identifier
1922023894
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD417934 Issued in PA
Practice address
765 Liberty Street
Suite 202
Meadville, PA 16335-2568
Phone
(814) 333-5888
Fax
(814) 333-5026
NPI assigned
Jul 13, 2006
Last updated
Dec 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD417934 PA Primary

Addresses

Primary practice location

765 Liberty Street
Suite 202
Meadville, PA 16335-2568

Mailing address

765 Liberty Street
Suite 202
Meadville, PA 16335-2568
Phone (814) 333-5888

Other identifiers 3

IdentifierTypeStateIssuer
1379522OtherBLUE SHIELD
0019009800001MedicaidPA
310927OtherUPMC

Other names 1

  • Jodi L Powlus Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110324000476 PA Practitioner - Obstetrics/Gynecology 1254514581 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Hahnemann University College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadville Medical CenterGroup PAC ID 4284535790, shared by 20 NPIs, 139 clinicians
Titusville Area HospitalGroup PAC ID 8022907575, shared by 16 NPIs, 77 clinicians

Practice addresses (Care Compare)

1034 Grove St
Meadville, PA 16335-2945

406 W Oak St
Titiusville, PA 16354-1404

765 Liberty St
Suite 202
Meadville, PA 16335-2568
Phone (814) 333-5888

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD417934PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Titusville Area Hospital CurrentSince Jan 1, 2023 Accepting new patients
Meadville Medical Center CurrentSince Nov 29, 2022 Accepting new patients
Titusville Area Hospital CurrentSince Jul 1, 2022 Accepting new patients
Titusville Area Hospital CurrentSince Jul 1, 2022 Accepting new patients
Meadville Medical Center CurrentSince Jul 1, 2024 Accepting new patients
Meadville Medical Center CurrentSince Nov 29, 2022 Accepting new patients
Titusville Area Hospital CurrentSince Jul 1, 2022 Accepting new patients
Titusville Area Hospital Current Accepting new patients
Titusville Area Hospital Current Accepting new patients
Meadville Medical Center Past Accepting new patients

Locations

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

640 Alden St
Meadville, PA 16335
Phone (814) 373-5255

747 Terrace St
Meadville, PA 16335
Phone (814) 333-7086

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

765 Liberty St
Ste 202
Meadville, PA 16335
Phone (814) 333-5888

406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Meadville Medical Center Transitional Care UnitMeadville, PA, CCN 395894 Skilled nursing facility Corporate Director Dec 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1922023894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 LIBERTY STREET",
            "address_2": "SUITE 202",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352568",
            "telephone_number": "814-333-5888",
            "fax_number": "814-333-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 LIBERTY STREET",
            "address_2": "SUITE 202",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352568",
            "telephone_number": "814-333-5888",
            "fax_number": "814-333-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXFIELD",
        "first_name": "JODI",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD417934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1379522",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019009800001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "310927",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "POWLUS",
            "middle_name": "L",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.