Individual provider Active NPI

Thomas P Paxton, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Aiken, SC
National Provider Identifier
1013975093
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
22756 Issued in SC
Practice address
137 Miracle Dr
Aiken, SC 29801-6351
Phone
(803) 641-5544
Fax
(803) 641-5625
NPI assigned
May 1, 2006
Last updated
Mar 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 22756 SC Primary

Addresses

Primary practice location

137 Miracle Dr
Aiken, SC 29801-6351

Mailing address

367 S. Gulph Rd
Att: Ipm Credentialing
King of Prussia, PA 19406-3121
Phone (803) 641-4874

Other identifiers 2

IdentifierTypeStateIssuer
020613680OtherSCBLUE CROSS PIN NUMBER
T70296MedicaidSC

Other names 1

  • Thomas P Paxton Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110207000420 SC Practitioner - Thoracic SurgeryPractitioner - Other (Physician) 1557541638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

137 Miracle Dr
Aiken, SC 29801-6351
Phone (803) 226-0589

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22756SCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aiken Professional Association LLC CurrentSince Oct 1, 2010 Accepting new patients
Aiken Professional Association, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Oct 1, 2010 Accepting new patients
Thomas P Paxton, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

367 S Gulph Rd
Kng of Prussa, PA 19406
Phone (610) 382-4422

137 Miracle Dr
Aiken, SC 29801
Phone (803) 226-0589

410 University Pkwy
Ste 2310
Aiken, SC 29801
Phone (803) 642-1318

440 Society Hill Dr
Ste 202
Aiken, SC 29803
Phone (803) 226-0102

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1013975093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 S. GULPH RD",
            "address_2": "ATT: IPM CREDENTIALING",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063121",
            "telephone_number": "803-641-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 MIRACLE DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016351",
            "telephone_number": "803-641-5544",
            "fax_number": "803-641-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAXTON",
        "first_name": "THOMAS",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "SC",
            "license": "22756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PIN NUMBER",
            "identifier": "020613680",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T70296",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "PAXTON",
            "middle_name": "P",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.