Provider Demographics
NPI:1700984044
Name:MAXIMUM MEDICAL, INC.
Entity type:Organization
Organization Name:MAXIMUM MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:GARRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-242-6997
Mailing Address - Street 1:1550 CATON CENTER DR
Mailing Address - Street 2:SUITE J FRONT
Mailing Address - City:HALETHORPE
Mailing Address - State:MD
Mailing Address - Zip Code:21227-1562
Mailing Address - Country:US
Mailing Address - Phone:866-242-6997
Mailing Address - Fax:866-242-7081
Practice Address - Street 1:1550 CATON CENTER DR
Practice Address - Street 2:SUITE J FRONT
Practice Address - City:HALETHORPE
Practice Address - State:MD
Practice Address - Zip Code:21227-1562
Practice Address - Country:US
Practice Address - Phone:866-242-6997
Practice Address - Fax:866-242-7081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2256332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0529720001Medicare NSC