Provider Demographics
NPI:1255318507
Name:MAXFIELD, JOHN F (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:F
Last Name:MAXFIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 METROHEALTH DR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44109-1900
Mailing Address - Country:US
Mailing Address - Phone:330-782-0223
Mailing Address - Fax:330-782-0226
Practice Address - Street 1:2500 METROHEALTH DR
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44109-1900
Practice Address - Country:US
Practice Address - Phone:216-778-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH14521207P00000X
OH35062606M207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH001307370-0005OtherPENNSYLVANIA MEDICAID
OH000000028430OtherANTHEM
OH001307370-0006OtherPENNSYLVANIA MEDICAID
OH000000383091OtherANTHEM
OH001307370-0007OtherPENNSYLVANIA MEDICAID
NH1255318507OtherANTHEM BCBS NH
OH000000381140OtherANTHEM
NH32000201Medicaid
NH5430022OtherAETNA
OH001307370-0002OtherPENNSYLVANIA MEDICAID
OH001307370-0008OtherPENNSYLVANIA MEDICAID
OH0874577Medicaid
MA110088048AMedicaid
OH000000385522OtherANTHEM
OH000000349348OtherANTHEM
OH001307370-0006OtherPENNSYLVANIA MEDICAID
OH001307370-0002OtherPENNSYLVANIA MEDICAID
C90447Medicare UPIN
NH32000201Medicaid
OHP00282194Medicare PIN
OHP00360141Medicare PIN
OH000000383091OtherANTHEM
OH000000028430OtherANTHEM
OH000000385522OtherANTHEM
OH001307370-0008OtherPENNSYLVANIA MEDICAID
OHMA0724361Medicare PIN