Maxted, Michael Cassidey

Maxted, Michael Cassidey is an individual health care provider with primary practice located at 921 Ne 13Th St , Oklahoma City OK 73104-5007. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Maxted, Michael Cassidey can be contacted via phone (405) 456-1000.

Contact Information

Primary practice address
921 Ne 13Th St Oklahoma City OK 73104-5007
Phone: (405) 456-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 29231 Oklahoma
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 24810 Mississippi
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 29231 Oklahoma
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 24810 Mississippi

Profile Details

NPI number 1528329208
LBN Legal business name Maxted, Michael Cassidey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2012
Last updated Jul 2nd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528329208 NPPES
Oklahoma MEDICAID 200445880A

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