Dr. Jerry Ray Maxwell , DPM
Podiatrist • Edmond, OK
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerry Maxwell has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jerry Maxwell, DPM was a registered Podiatrist practicing in Edmond, OK. Throughout an active medical career spanning 17 years, Dr. Maxwell provided care at the practice location at 600 W 15TH ST until profile deactivation on 2023-06-21.
Practice Location & Contact Primary Location
600 W 15th St
Edmond, OK 730133617
Specialty Benchmarks & Practice Insights
Comparative analytics for Podiatrist in Edmond, OK
Practicing in Edmond, OK (71 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 213E00000X
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Podiatrist
Doctor of Podiatric Medicine
Podiatrist
Doctor of Podiatric Medicine
Podiatrist
Doctor of Podiatric Medicine
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 21, 2023
NPI status registered as active in NPPES database
Registered at 600 W 15TH ST, EDMOND, OK 730133617 (Tel: 4053409251)
Registered at 600 W 15TH ST, EDMOND, OK 730133617 (Tel: 4053409251)
Recorded as JERRY MAXWELL, DPM
Podiatrist (License #144 in OK)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
600 W 15th St
Edmond, OK 730133617
Phone: 4053409251
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