Thomas Samuel Paxman, DO

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

2577 Issued in AZ

Practice address

728 E White Mountain Blvd
Suite a
Pinetop, AZ 85935-7027

Phone

(928) 367-6688

Fax

(928) 367-4916

NPI assigned

Feb 9, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Pinetop Medical Associates LTD

  dba Blue Ridge Regional Clinic

  • Family Medicine Physician
  • Pinetop, AZ
  • NPI 1154453728
  Authorized official Same address or phone
• Scott Hanson Pac

  • Physician Assistant
  • Pinetop, AZ
  • NPI 1033511464
  NPD (past) Authorized official

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1821061805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2690",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "859357027",
            "telephone_number": "928-367-6688",
            "fax_number": "928-367-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 E WHITE MOUNTAIN BLVD",
            "address_2": "SUITE A",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "859357027",
            "telephone_number": "928-367-6688",
            "fax_number": "928-367-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAXMAN",
        "first_name": "THOMAS",
        "middle_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "2577",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "2577",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049884",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ladys Choice LLC
• Kimberly J Marbello, PHARM.D.
• Michael B Hall PLLC
• Morada Behavioral Health Center
• Mayra Patricia Morales
• Pinetop Behavioral Health LLC
• Pinetop Medical Associates LTD (Blue Ridge Regional Clinic)
• Pinetop Treatment Center LLC
• Pinetop Volunteer Fire District
• R Alan Lee OD PC

• General Practice Physician in Pinetop, AZ
• Providers in Pinetop, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.