Individual provider Active NPI

Joseph Paxitzis

  • Pediatric Nurse Practitioner
  • Fairlawn, OH
National Provider Identifier
1659727204
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN.CNP.019353 Issued in OH
Practice address
3800 Embassy Pkwy
Suite 260
Fairlawn, OH 44333-8387
Phone
(330) 664-8120
NPI assigned
May 12, 2016
Last updated
Dec 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
APRN.CNP.019353OHMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: josephpaxitzis@uhps.allscriptsdirect.net
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.