Rebecca Thaxton, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

19163 Issued in WV

Practice address

120 Cornwall LN
Charleston, WV 25314-2493

Phone

(304) 205-4719

Fax

(304) 205-4719

NPI assigned

Sep 7, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Community Health Association

  • Physical Therapy Clinic/Center
  • Ravenswood, WV
  • NPI 1124369780
  NPD (past)

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1336456722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CORNWALL LN",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253142493",
            "telephone_number": "304-205-4719",
            "fax_number": "304-205-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CORNWALL LN",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253142493",
            "telephone_number": "304-205-4719",
            "fax_number": "304-205-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAXTON",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WV",
            "license": "19163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Thaxton, NCC
• Danielle Thaxton
• Jeffrey Norman Thaxton, MD
• Jennifer Renee Thaxton
• Leshia Dawn Thaxton
• William James Thaxton
• Michelle Beth Thayer, PRSS
• The Arc of the Three Rivers, Inc.
• The Center for Pain Relief Tri State PLLC
• The Children'S Home Society of West Virginia, Inc.

• General Practice Physician in Charleston, WV
• Providers in Charleston, WV by specialty
• General Practice Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.