MEDICARE: GERALD S MAXWELL DO

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
1	207Q00000X	Family Medicine Physician	OS9661	FL
2	207Q00000X	Family Medicine Physician	34-006824	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972508711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GERALD S MAXWELL DO

Provider Business Mailing Address
First Line	:	5533 MAHONING AVE
Second Line	:
City	:	AUSTINTOWN
State	:	OH
Zip	:	44515-2366
Country	:	US
Telephone Number	:	330-793-2701
Fax Number	:	330-793-2366

Provider Business Practice Location Address
First Line	:	5533 MAHONING AVE
Second Line	:
City	:	AUSTINTOWN
State	:	OH
Zip	:	44515-2366
Country	:	US
Telephone Number	:	330-793-2701
Fax Number	:	330-793-2366

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	01/11/2021

Similar Medicare Providers

1104801984 — DR. VINCENT JOSEPH MALKOVITS D.O.
Practice Location Address:

5533 MAHONING AVE FL 2
AUSTINTOWN, OH
44515-2366

Practice Phone: 330-793-2701
Practice Fax: 330-793-8688

1720065071 — JOHN MANENTI DO
Practice Location Address:

5533 MAHONING AVE FL 2
AUSTINTOWN, OH
44515-2366

Practice Phone: 330-793-2707
Practice Fax:

1073634325 — MRS. DIANA LYNN CUNNINGHAM PHYSICAL THERAPIST
Practice Location Address:

5533 MAHONING AVE FL 2
AUSTINTOWN, OH
44515-2366

Practice Phone: 330-799-0094
Practice Fax: 330-799-8303

1861633844 — MISS HOLLY S. MESSINA CRNP
Practice Location Address:

5533 MAHONING AVE FL 2
AUSTINTOWN, OH
44515-2366

Practice Phone: 330-793-2701
Practice Fax: 330-793-8688

1023347499 — WILLIAM M. QUIRK, M.D., FACOG, OBSTETRICS AND GYNECOLOGY, LLC.
Practice Location Address:

5533 MAHONING AVE , SUITE D
AUSTINTOWN, OH
44515-2366

Practice Phone: 330-793-7966
Practice Fax: 330-953-3963

1508154279 — DR. CHRISTIAN YEASTED M.D.
Practice Location Address:

5533 MAHONING AVE , STE D
AUSTINTOWN, OH
44515-2366

Practice Phone: 330-793-2701
Practice Fax: 330-793-8688

Directions to “ GERALD S MAXWELL DO” 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 © 2007-2026 (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.