Active NPI
Joseph Paxitzis
- Pediatric Nurse Practitioner
- Fairlawn, OH
National Provider Identifier
1659727204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN.CNP.019353
- Practice address
- 3800 Embassy Pkwy
Suite 260
Fairlawn, OH 44333-8387 - Phone
- (330) 664-8120
- NPI assigned
- May 12, 2016
- Last updated
- Dec 3, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | APRN.CNP.019353 | OH | Primary |
Addresses
Primary practice location
3800 Embassy Pkwy
Suite 260
Fairlawn, OH 44333-8387
Mailing address
3800 Embassy Parkway
Suite 260
Fairlawn, OH 44333
Phone (330) 664-8120
Other practice location 1
5603 Darrow Rd Ste 200
Hudson, OH 44236-5015
Phone (330) 486-9780
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | josephpaxitzis@uhps.allscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.019353 | OH | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care Practices | Past | Accepting new patients |
Interoperability endpoints
- josephpaxitzis@uhps.allscriptsdirect.net
- jpaxitzis28011@ehrdirect.uhhospitals.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Twinsburg, OH
- NPI 1326166752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1659727204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 EMBASSY PARKWAY",
"address_2": "SUITE 260",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "44333",
"telephone_number": "330-664-8120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 EMBASSY PKWY",
"address_2": "SUITE 260",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443338387",
"telephone_number": "330-664-8120"
}
],
"practiceLocations": [
{
"address_1": "5603 Darrow Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Hudson",
"state": "OH",
"postal_code": "442365015",
"country_code": "US",
"telephone_number": "330-486-9780",
"fax_number": "330-486-3411",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAXITZIS",
"first_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-12",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OH",
"license": "APRN.CNP.019353",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "josephpaxitzis@uhps.allscriptsdirect.net",
"affiliation": "N",
"address_1": "3800 Embassy Pkwy",
"address_2": "Suite 260",
"city": "Fairlawn",
"state": "OH",
"country_code": "US",
"postal_code": "443338387",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.