Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Maxwell James Self, MD

Individual provider Family Medicine Physician · NPI 1497736011

Dr. Maxwell James Self, MD is a Family Practice in Fort Scott, Kansas. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 1992, 34 years ago. Practices with Community Health Center of Southeast Kansas Inc, a 111-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
34
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
KS
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2322 S Main St
Fort Scott, KS 66701-3026
Phone: (620) 223-8040
Fax: (620) 223-8002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0424746 (KS)

Record details

NPI number1497736011
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 10, 2005
Last updated in NPPESMay 1, 2023
Certification dateMay 1, 2023
Mailing addressPo Box 1832, Pittsburg, KS 66762-1832

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 1992 (34 years in practice)
Group practice Community Health Center Of Southeast Kansas Inc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fort Scott