ELIZABETH VARLAND MAXWELL PA NPI 1073895215

NPI Information

NPI: 1073895215
Provider Name: ELIZABETH VARLAND MAXWELL, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: ROCHESTER GENERAL HOSPITAL

PECOS Registration: Yes

Address:
1425 PORTLAND AVE
ROCHESTER, NY
ZIP 14621
Phone: (585) 922-4000
Get Directions

Elizabeth Varland Maxwell, PA is a surgical physician assistant in Rochester, NY with 13 years of experience. Elizabeth Varland Maxwell, PA NPI is 1073895215. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1425 PORTLAND AVE
ROCHESTER, NY
ZIP 14621-001
Phone: (585) 922-4000

The NPI 1073895215 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/14/2011 and was last updated on 3/7/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	014911	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03457178	MEDICAID	NEW YORK
2	12371645	OTHER	NEW YORK	CAQH
3	MV2461666	OTHER	NEW YORK	DEA NY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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