Dr Kevin Maxwell, MD | |
1200 E 3900 S, Salt Lake City, UT 84124-1300 | |
(801) 268-7111 | |
Not Available |
Full Name | Dr Kevin Maxwell |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 10 Years |
Location | 1200 E 3900 S, Salt Lake City, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184044190 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0204X | Radiology - Vascular & Interventional Radiology | 11785838-1205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Mark's Hospital | Salt lake city, UT | Hospital |
Ogden Regional Medical Center | Ogden, UT | Hospital |
Lone Peak Hospital | Draper, UT | Hospital |
Brigham City Community Hospital | Brigham city, UT | Hospital |
Lakeview Hospital | Bountiful, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Utah Imaging Associates Inc | 1355394537 | 42 |
Wasatch Vascular Center Llc | 1951726967 | 6 |
Entity Name | Utah Imaging Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629076229 PECOS PAC ID: 1355394537 Enrollment ID: O20050228000845 |
Entity Name | Tooele Valley Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699004499 PECOS PAC ID: 2466624630 Enrollment ID: O20111012000146 |
Entity Name | Oquirrh Radiology Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568734143 PECOS PAC ID: 4082875448 Enrollment ID: O20120411000273 |
Entity Name | Wasatch Vascular Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558905398 PECOS PAC ID: 1951726967 Enrollment ID: O20200807002691 |
Entity Name | Green River Radiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508533878 PECOS PAC ID: 5294123063 Enrollment ID: O20211027002062 |
Mailing Address | Practice Location Address |
---|---|
Dr Kevin Maxwell, MD 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 Ph: (801) 298-1300 | Dr Kevin Maxwell, MD 1200 E 3900 S, Salt Lake City, UT 84124-1300 Ph: (801) 268-7111 |
Dr. Romuald Ferre, Radiology Medicare: Not Enrolled in Medicare Practice Location: University Of Utah Department Of Radiology And Imaging, 30 North Mario Capecchi Drive 2 South, Salt Lake City, UT 84112 Phone: 801-633-7085 | |
Dr. Vilija N Avizonis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3838 S 700 E, Suite 100, Salt Lake City, UT 84106 Phone: 801-281-6860 Fax: 801-281-4822 | |
Karen Lisa Salzman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121 | |
Hugh F. Harnsberger, MD Radiology Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, 1a71, Salt Lake City, UT 84132 Phone: 801-581-7553 | |
Dr. Jeffrey S Prince, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1900 | |
Dr. Erika J. Schneble, DO, MA Radiology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E Rm 1a071, Salt Lake City, UT 84132 Phone: 801-581-2121 | |
Dr. Brad Wright, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3321 S 3010 E, Salt Lake City, UT 84109 Phone: 802-310-2843 |