DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. MAXWELL JAMES SELF M.D.

MEDICARE: DR. MAXWELL JAMES SELF M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician0424746KS

General Provider Information

NPI Number : 1497736011
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAXWELL JAMES SELF M.D.
Provider Business Mailing Address
First Line : PO BOX 1832
Second Line :
City : PITTSBURG
State : KS
Zip : 66762-1832
Country : US
Telephone Number : 620-231-9873
Fax Number : 620-240-5062
Provider Business Practice Location Address
First Line : 2322 S MAIN ST
Second Line :
City : FORT SCOTT
State : KS
Zip : 66701-3026
Country : US
Telephone Number : 620-223-8040
Fax Number : 620-223-8002
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2005
Last Update Date : 05/01/2023

Similar Medicare Providers

1669475018 — DR. MARY JO FLINT M.D.
Practice Location Address:
2322 S MAIN ST
FORT SCOTT, KS
66701-3026
Practice Phone: 888-777-9170
Practice Fax:
1386625903 — DR. PANKAJ GUGNANI M.D.
Practice Location Address:
2322 S MAIN ST
FORT SCOTT, KS
66701-3026
Practice Phone: 888-777-9170
Practice Fax:
1609985795 — FRANK DAVID MILLER D.C.
Practice Location Address:
2322 S MAIN ST
FORT SCOTT, KS
66701-3026
Practice Phone: 888-777-9170
Practice Fax:
1255423364 — GREGORY J KING APRN
Practice Location Address:
2322 S MAIN ST
FORT SCOTT, KS
66701-3026
Practice Phone: 620-223-8064
Practice Fax:
1063604940 — WILLIAM T CARL APRN
Practice Location Address:
2322 S MAIN ST
FORT SCOTT, KS
66701-3026
Practice Phone: 888-777-9170
Practice Fax:
1346631462 — AMANDA STICE APRN
Practice Location Address:
2322 S MAIN ST
FORT SCOTT, KS
66701-3026
Practice Phone: 888-777-9170
Practice Fax:

Directions to “ DR. MAXWELL JAMES SELF M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.