Individual provider Active NPI

Alexander Maxwell Mayer

  • Physician Assistant
  • Dayton, OH
National Provider Identifier
1720937378
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
300 College Park Ave
Dayton, OH 45469-2958
Phone
(937) 229-2900
NPI assigned
Jan 27, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

300 College Park Ave
Dayton, OH 45469-2958

Mailing address

300 College Park Ave
Dayton, OH 45469-2958
Phone (937) 229-2900

Other practice location 1

30 E Apple St Ste 5254A
Dayton, OH 45409-2939
Phone (937) 208-4200

Other practice location 2

200 Medical Center Dr Ste 325
Middletown, OH 45005-5178
Phone (513) 708-7620

Other practice location 3

2300 Miami Valley Dr Ste 550
Centerville, OH 45459-1298
Phone (937) 438-7500

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260520000881 OH Practitioner - Physician Assistant 0648749580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3170 Kettering Blvd
Moraine, OH 45439-1924

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1769472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1720937378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 COLLEGE PARK AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454692958",
            "telephone_number": "937-229-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COLLEGE PARK AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454692958",
            "telephone_number": "937-229-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 E Apple St Ste 5254A",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454092939",
            "country_code": "US",
            "telephone_number": "937-208-4200",
            "fax_number": "937-208-2678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Medical Center Dr Ste 325",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450055178",
            "country_code": "US",
            "telephone_number": "513-708-7620",
            "fax_number": "513-705-7065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Miami Valley Dr Ste 550",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454591298",
            "country_code": "US",
            "telephone_number": "937-438-7500",
            "fax_number": "937-438-7555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYER",
        "first_name": "ALEXANDER",
        "middle_name": "MAXWELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.