NPIMap

Individual provider Active NPI

Dylan Michael Saxon, PA

  • Physician Assistant
  • Troy, PA
National Provider Identifier
1871062083
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA060273 Issued in PA
Practice address
285 Guthrie Dr
Troy, PA 16947-8115
Phone
(570) 297-4101
Fax
(570) 297-2066
NPI assigned
Nov 16, 2018
Last updated
Mar 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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 MA060273 PA Primary

Addresses

Primary practice location

285 Guthrie Dr
Troy, PA 16947-8115

Mailing address

1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 887-5858

Other practice location 1

127 Sullivan St
Canton, PA 17724-1733
Phone (570) 673-3197

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dsaxon127368@direct-guthrie.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190206001779 PA Practitioner - Physician Assistant 7113265729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guthrie Medical Group PCGroup PAC ID 6002728656, 795 clinicians
Susquehanna Physician ServicesGroup PAC ID 2264336460, shared by 32 NPIs, 611 clinicians

Practice addresses (Care Compare)

275 Guthrie Dr
Troy, PA 16947-8115
Phone (570) 297-2121

285 Guthrie Dr
Troy, PA 16947-8115
Phone (570) 297-4104

416 S Main St
Mansfield, PA 16933-1510

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA060273PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. CurrentSince Jan 1, 2019 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Jan 1, 2019 Accepting new patients
Guthrie Medical Group PC Past Accepting new patients

Locations

127 Sullivan St
Canton, PA 17724
Phone (570) 673-3197

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

285 Guthrie Dr
Troy, PA 16947
Phone (570) 297-4104

Interoperability endpoints

  • Direct secure messaging: dsaxon127368@direct-guthrie.org

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1871062083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUTHRIE SQ",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188401625",
            "telephone_number": "570-887-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 GUTHRIE DR",
            "city": "TROY",
            "state": "PA",
            "postal_code": "169478115",
            "telephone_number": "570-297-4101",
            "fax_number": "570-297-2066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 Sullivan St",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "PA",
            "postal_code": "177241733",
            "country_code": "US",
            "telephone_number": "570-673-3197",
            "fax_number": "570-673-8297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAXON",
        "first_name": "DYLAN",
        "middle_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-16",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA060273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dsaxon127368@direct-guthrie.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "285 Guthrie Dr",
            "city": "Troy",
            "state": "PA",
            "country_code": "US",
            "postal_code": "169478115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, PA

Sources for this page

Verify at the official NPI Registry.