Organization Active NPI

Donald E Paxton MD LLC

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1952348955
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11356 Issued in AZ
Legal business name
DONALD E PAXTON MD LLC
Practice address
202 E Earll Dr
Ste 450
Phoenix, AZ 85012-2634
Phone
(602) 241-9500
Fax
(602) 241-9552
NPI assigned
May 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Authorized official

Name
Donald E. Paxton, MDNPI 1952343824
Title
Owner/Physician
Phone
(602) 241-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 11356 AZ Primary

Addresses

Primary practice location

202 E Earll Dr
Ste 450
Phoenix, AZ 85012-2634

Mailing address

202 E Earll Dr Ste 450
Phoenix, AZ 85012-2675
Phone (602) 241-9500

Other identifiers 1

IdentifierTypeStateIssuer
PFP13PAXTD01MedicaidAZ

Other names 1

  • Donald E Paxton MD Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060315000288 AZ Part B Supplier - Clinic/Group Practice 3971510090 Receives reassigned benefits from 2 practitioners
Practice locations: Phoenix, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0970477Donald E Paxton MD, LLC202 E Earll Dr Suite 450, Phoenix, AZ 85012Provider-performed microscopyFeb 3, 2028

National Provider Directory

National Provider Directory

Locations

202 E Earll Dr
Ste 450
Phoenix, AZ 85012
Phone (602) 241-9500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1952348955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E EARLL DR STE 450",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122675",
            "telephone_number": "602-241-9500",
            "fax_number": "602-241-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E EARLL DR",
            "address_2": "STE 450",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122634",
            "telephone_number": "602-241-9500",
            "fax_number": "602-241-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD E PAXTON MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "PAXTON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "602-241-9500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "11356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PFP13PAXTD01",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Donald E Paxton MD",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Donald E Paxton MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.