Pax Medical Supply, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

31900221 Issued in OH

Legal business name

PAX MEDICAL SUPPLY, INC.

Doing business as

Mapes Medical Supply

Practice address

6910 Silverton Ave
Cincinnati, OH 45236-3702

Phone

(513) 791-6671

Fax

(513) 791-0643

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James J. Kokenge

Title

President

Phone

(513) 791-6671

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mapes Medical Supply Doing business as

Locations

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1811934185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 SILVERTON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452363702",
            "telephone_number": "513-791-6671",
            "fax_number": "513-791-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 SILVERTON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452363702",
            "telephone_number": "513-791-6671",
            "fax_number": "513-791-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAX MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "KOKENGE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-791-6671",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "OH",
            "license": "31900221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2658637",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mapes Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Pavlock, MS
• Vlado Pavlovic, D.D.S.
• Michele L Pawlak, CNP
• Sarah Pawlak
• Cameron Baxter Pawlik, MD
• Lisa Carol Paxton, MSN, CNP,FNP-BC
• Molly Paxton
• Hunter Lee Pay, PHARMD
• Paul Payiatis, LISW
• Jose Hermann Payim

• Customized Equipment (DME) in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Customized Equipment (DME) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.