Individual provider Active NPI

Jacinda L Paxson, D.O.

  • Emergency Medicine Physician
  • Portsmouth, OH
National Provider Identifier
1396027041
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.101815 Issued in OH
Practice address
1735 27TH St
Waller Building, Suite B06
Portsmouth, OH 45662-2677
Phone
(740) 356-8051
Fax
(740) 353-7900
NPI assigned
Sep 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 58003973 OH
Emergency Medicine Physician 207P00000X 34.101815 OH Primary

Addresses

Primary practice location

1735 27TH St
Waller Building, Suite B06
Portsmouth, OH 45662-2677

Mailing address

1735 27TH St
Waller Building, Suite B06
Portsmouth, OH 45662-2677
Phone (740) 356-8051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20130813000122 OH Practitioner - Emergency Medicine 1153563614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75.39 of 100Reported as individual
Quality
78.11
Improvement activities
0
Cost
74.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.101815OHMDEmergency Medicine Physician
58003973OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epmg of Ohio Inc P a Emergency Medicine CurrentSince Jul 1, 2013 Accepting new patients

Locations

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

Interoperability endpoints

  • Direct secure messaging: jacinda.paxson@somc.medicity.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1396027041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 27TH ST",
            "address_2": "WALLER BUILDING, SUITE B06",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622677",
            "telephone_number": "740-356-8051",
            "fax_number": "740-353-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 27TH ST",
            "address_2": "WALLER BUILDING, SUITE B06",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622677",
            "telephone_number": "740-356-8051",
            "fax_number": "740-353-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAXSON",
        "first_name": "JACINDA",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-19",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "58003973",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.101815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.