Individual provider · Type 1 NPI

Jordan Maxwell, DO

Surgery Physician · Lafayette, IN

NPI number 1356790851 Active

Practice location

1701 S Creasy Ln
Lafayette, IN 47905-4972

Mailing address

PO Box 781076
Detroit, MI 48278-1076

Other practice locations

  • 1710 Lafayette Rd, Crawfordsville, IN 47933-1033 · (765) 361-3387

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X5101022569 (MI)
Plastic and Reconstructive Surgery Physician 2086S0122X5101025758 (MI)
Surgery Physician Primary 208600000X02007042A (IN)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1356790851

Jordan Maxwell, DO's National Provider Identifier is 1356790851, issued on Jun 7, 2016. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Lafayette, IN. The record was last updated on Aug 11, 2025.