MAXIS MEDICAL SERVICES NPI 1356479919

NPI Information

  • NPI: 1356479919
  • Provider Name: MAXIS MEDICAL SERVICES
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Organization
  • Doing Business As: MAXIS WOMEN'S HEALTH SERVICES
  • Address: 141 SALEM AVE
    SUITE G2
    CARBONDALE, PA
    ZIP 18407
  • Phone: (570) 281-1120

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NPI Details

MAXIS MEDICAL SERVICES is a gynecology obstetrics gynecology in Carbondale, PA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee MAXIS MEDICAL SERVICES NPI is 1356479919. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Maxis Women's Health Services.

The provider's business location address is:

141 SALEM AVE
SUITE G2
CARBONDALE, PA
ZIP 18407-574
Phone: (570) 281-1120

The provider's authorized official is Mary Theresa Vautrinot .
The authorized official title is Ceo and has the following contact phone number (570) 281-1001.

The enumeration date for this NPI number is 3/2/2007 and was last updated on 7/20/2007.

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
1207VG0400XObstetrics & GynecologyGynecologyOS005206LPENNSYLVANIAYes

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
1070104MEDICARE OSCAR/CERTIFICATIONPENNSYLVANIA

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: 11/21/2025

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