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

Justin Evan Maxwell, DO

Individual provider Family Medicine Physician · NPI 1386938777

Justin Evan Maxwell, DO is a Family Practice in Las Vegas, Nevada. Qualified in 2011, 15 years ago. Practices with Intermountain Medical Holdings Nevada Inc, a 308-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
15
Licensed in
NV
In the registry since
2011
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4730 S Fort Apache Rd Ste 150
Las Vegas, NV 89147-7959
Phone: (702) 940-1570
Fax: (702) 940-1571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9499 W Charleston Blvd, Las Vegas, NV 89117-7150 — (702) 228-5477

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO1829 (NV)

Record details

NPI number1386938777
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 3, 2011
Last updated in NPPESOctober 19, 2022
Certification dateOctober 19, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Intermountain Medical Holdings Nevada Inc — 308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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