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MAXIM JAMES MCKIBBEN MD NPI 1598022089


NPI Information

NPI: 1598022089
Provider Name: MAXIM JAMES MCKIBBEN, MD
Classification: Urology - 208800000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1225 HARDING PL
STE 3100
CHARLOTTE, NC
ZIP 28204
Phone: (704) 355-8686
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Maxim James Mckibben, MD is an urology in Charlotte, NC with 12 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Maxim James Mckibben, MD NPI is 1598022089. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduation Year:2012

The provider's business location address is:

1225 HARDING PL
STE 3100
CHARLOTTE, NC
ZIP 28204-826
Phone: (704) 355-8686

The NPI 1598022089 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope (HCPCS:52000)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)

The enumeration date for this NPI number is 4/20/2012 and was last updated on 12/18/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology2018-00434NORTH CAROLINAYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.