Individual
TIFFANY MAXEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
114 W 11TH ST, HMS MED SQUARE, SILVER CITY, NM 88061-5124
(575) 388-1511
(575) 542-2388
Mailing address
530 DE MOSS ST, HIDALGO MEDICAL SERVICES, LORDSBURG, NM 88045-2618
(575) 542-2368
(575) 542-2388
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2014-0001
NM
363AM0700X
Medical Physician Assistant
Primary
PA2014-0001
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
332530YKWY
MEDICARE PTAN
NM
05
—
96120321
—
NM
Enumeration date
01/22/2014
Last updated
02/25/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us