Active NPI
Jacinda L Paxson, D.O.
- Emergency Medicine Physician
- Portsmouth, OH
National Provider Identifier
1396027041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 34.101815
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75.39 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 34.101815 | OH | MD | Emergency Medicine Physician |
| 58003973 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epmg of Ohio Inc P a | Emergency Medicine | Current | Accepting new patients |
Locations
1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000
Interoperability endpoints
- 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.
-
- Emergency Medicine Physician
- Portsmouth, OH
- NPI 1841232196
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.