1. Home
  2. Directory
  3. Arizona
  4. Tucson
  5. Specialist
  6. NPI Profile

MAXWELL AESTHETICS PC
NPI 1063734200
Specialist in Tucson, AZ

Active since February 15, 2010CLIA 03D2339039 · Waiver
2490 E RIVER RD, TUCSON, AZ 85718(520) 751-1225(520) 751-2008 Get Directions Write a Review

NPPES record last updated: February 15, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Maxwell Aesthetics Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAXWELL AESTHETICS PC (NPI 1063734200) is a healthcare organization registered as a specialist in Tucson, Arizona and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through February 22, 2028 and lists Gwendolyn S Maxwell, President, as its authorized official.

NPPES Registry Identity

NPI1063734200
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMAXWELL AESTHETICS PC
Location Address2490 E RIVER RDTucson, AZ 85718-6522
Mailing Address2490 E River RdTucson, AZ 85718-6522 · (520) 751-1225 · Fax (520) 751-2008
Phone(520) 751-1225
Fax(520) 751-2008
Organization SubpartNo
Authorized OfficialGwendolyn S MaxwellPresident · (520) 751-1225
Enumeration DateFebruary 15, 2010
✔ NPI 1063734200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in AZ · 21869✔ Licensed in AZ · 41438
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2490 E RIVER RD, Tucson, AZ 85718
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2339039

Maxwell Aesthetics Obsp · Tucson, AZ
Active · expires Feb 22, 2028
CLIA Number03D2339039
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 23, 2026
Certificate Expiration DateFebruary 22, 2028
Laboratory DirectorGwen Maxwell
Laboratory Phone(520) 751-1225
Laboratory LocationMaxwell Aesthetics Obsp2490 E River Rd Ste 100, Tucson, AZ 85718
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. GWENDOLYN SUE MAXWELL M.D. , F.A.C.S.
Plastic Surgery
2490 E RIVER RD
TUCSON, AZ 85718
Pima County (520) 751-1225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maxwell Aesthetics PC's NPI number?

The NPI number for Maxwell Aesthetics PC is 1063734200. It was assigned to this organization in the NPPES registry on February 15, 2010.

Where is Maxwell Aesthetics PC located?

Maxwell Aesthetics PC is located at 2490 E River Rd, Tucson, AZ 85718. The listed phone number is (520) 751-1225.

What is Maxwell Aesthetics PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Maxwell Aesthetics PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2339039) is associated with this NPI, valid through February 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Maxwell Aesthetics PC was last updated on February 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.