Active NPI
Jay Edward Paxton, PTA
- Community Health Worker
- Andover, OH
National Provider Identifier
1962658047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 06144
- Practice address
- Avrc 486 South Main Street
Andover, OH 44003 - Phone
- (440) 293-6079
- NPI assigned
- Aug 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 06144 | OH | Primary |
Addresses
Primary practice location
Avrc 486 South Main Street
Andover, OH 44003
Mailing address
27 Quarry Hill Rd
Greenville, PA 16125-9779
Phone (724) 588-5984
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06144 | OH | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218153600000",
"number": "1962658047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 QUARRY HILL RD",
"city": "GREENVILLE",
"state": "PA",
"postal_code": "161259779",
"telephone_number": "724-588-5984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVRC 486 SOUTH MAIN STREET",
"city": "ANDOVER",
"state": "OH",
"postal_code": "44003",
"telephone_number": "440-293-6079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAXTON",
"first_name": "JAY",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-08",
"last_updated": "2008-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OH",
"license": "06144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Andover, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.