ANDREW MAXAM DO
NPI 1821681586
General Practice in Tacoma, WA

Q: What is Andrew Maxam's NPI number?

The NPI number for Andrew Maxam is 1821681586. It was assigned to this individual provider in the NPPES registry on February 14, 2021.

Q: What is Andrew Maxam's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Maxam was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 14, 2021PECOS Enrolled

9040 JACKSON AVE, TACOMA, WA 98431(253) 968-0117 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Nov 8, 2022, Feb 14, 2021 (2 updates tracked since 2021).

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About Andrew Maxam Do NPPES

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

ANDREW MAXAM DO (NPI 1821681586) is an individual general practice provider in Tacoma, Washington, licensed in Indiana (02006965A) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821681586

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameANDREW MAXAMCredential: DO

Location Address9040 JACKSON AVETacoma, WA 98431-0001

Mailing Address9040 Jackson AveTacoma, WA 98431-0001

Phone(253) 968-0117

Sole ProprietorNo

Enumeration DateFebruary 14, 2021

Last NPPES UpdateNovember 8, 20222 updates tracked since enumeration

NPPES CertifiedNovember 8, 2022

✔ NPI 1821681586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in IN · 02006965A

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

9040 JACKSON AVE, Tacoma, WA 98431

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Maxam Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

MICHAEL JOHN MEANS CRNA

Nurse Anesthetist, Certified Registered