Healthcare Provider Details

I. General information

NPI: 1730304718
Provider Name (Legal Business Name): MAXIMED ASSOCIATES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 01/23/2026
Certification Date: 01/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12126 HERITAGE PARK CIR
SILVER SPRING MD
20906-4554
US

IV. Provider business mailing address

12126 HERITAGE PARK CIR
SILVER SPRING MD
20906-4554
US

V. Phone/Fax

Practice location:
  • Phone: 301-460-6664
  • Fax: 301-460-7867
Mailing address:
  • Phone: 301-460-6664
  • Fax: 877-919-2471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberD0060089
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0060089
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0046584
License Number StateMD
# 4
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberD0046584
License Number StateMD

VIII. Authorized Official

Name: JOHN IAN MCNEIL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 301-460-6664