JEFFREY M BRAXTON (NPI# 1053415257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053415257 |
| Entity Type | Individual |
| Full Name | JEFFREY M BRAXTON |
| Credential | M.D., F.A.C.S. |
| Practice Address |
1256 Waterford Dr Suite 130 Aurora IL 60504-4510 |
| Practice Telephone | 6308202727 |
| Practice Fax Number | 6308207427 |
| Mailing Telephone | 6308202727 |
| Mailing Fax Number | 6308207427 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2008-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 036084373 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | K50963 | 01 |
| Street Address |
1256 WATERFORD DR SUITE 130 |
| City | AURORA |
| State | IL |
| Zip Code | 60504-4510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689618290 | Syed Zaidi | Internal Medicine | 1256 Waterford Dr, Suite 120, Aurora, IL 60504-4511 | 2006-06-15 |
| 1003389503 | Edita Aurelia Danaiata | Registered Nurse | 1256 Waterford Dr, Aurora, IL 60504-4510 | 2019-01-07 |
| 1629476254 | Corey William Weir | Counselor | 1256 Waterford Dr, #140, Aurora, IL 60504-4510 | 2014-12-14 |
| 1033543871 | Amy L Coleman | Social Worker | 1256 Waterford Dr, Suite 140, Aurora, IL 60504-4510 | 2013-08-28 |
| 1104250067 | Waterford Counseling and Psychological Services, Ltd | Counselor | 1256 Waterford Dr, Suite 140, Aurora, IL 60504-4510 | 2013-08-28 |
| 1720427214 | Brandie Remke | Social Worker | 1256 Waterford Dr, Suite 140, Aurora, IL 60504-4510 | 2013-06-18 |
| 1992084255 | Midwest Hearing Health | Specialist | 1256 Waterford Dr, Suite170, Aurora, IL 60504-4510 | 2011-08-04 |
| 1477831220 | Rush-copley Medical Group | Internal Medicine | 1256 Waterford Dr, Suite 120, Aurora, IL 60504-4510 | 2011-07-28 |
| 1093018285 | Tommy Pacana | Internal Medicine | 1256 Waterford Dr, Suite 120, Aurora, IL 60504-4510 | 2010-12-10 |
| 1366562480 | Southwest Digestive Diseases Consultants S C | Internal Medicine | 1256 Waterford Dr, Suite 120, Aurora, IL 60504-4511 | 2007-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631039 | Kamala Lakshmipathy | Physical Therapist | 2021 Randi Drive, Aurora, IL 60504 | 2017-10-31 |
| 1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
| 1316499023 | Wilcox and Wilcox, Inc | Home Health | 75 Executive Drive, Suite 301, Aurora, IL 60504 | 2016-10-28 |
| 1518315241 | Kinsley Jin | Family Medicine | Rush-copley Family Medicine Center 2020 Ogden Avenue, Suite 330, Aurora, IL 60504 | 2016-06-03 |
| 1609224211 | Empower Health Services, LLC | Clinic/Center | 4205 Westbrook Dr, Aurora, IL 60504 | 2016-05-25 |
| 1275907883 | Lolita Lajoyce Norris | Private Vehicle | 235 Kirkland Ln, Aurora, IL 60504 | 2015-11-19 |
| 1972917557 | Elizabeth Sledge | Occupational Therapist | 1000 Celebration Dr, Aurora, IL 60504 | 2014-06-11 |
| 1962840330 | Sparc Chiropractic, P.C. | Chiropractor | 800-2 Frontenac Road, #2, Aurora, IL 60504 | 2013-06-07 |
| 1932451952 | Illinois Health Resources Inc | Physical Therapist | 1240 S Commons Dr, Aurora, IL 60504 | 2012-10-15 |
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| Find all providers in zip 60504 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316508856 | Daniel Eduardo Espina | Surgery | 12631 E 17th Ave # 6117, Aurora, CO 80045-2527 | 2019-06-25 |
| 1508388166 | Sristi Sharma | Surgery | 12631 E. 17th Ave., C302, Aurora, CO 80045 | 2017-07-14 |
| 1538538954 | Home Care Travel Docs Inc | Surgery | 519 W Downer Pl, Suite 414, Aurora, IL 60506-5036 | 2015-09-15 |
| 1386910669 | Cordelie Elizabeth Witt | Surgery | 12631 E. 17th Avenue, Room 5401, Mail Stop C-291, Aurora, CO 80045 | 2012-03-30 |
| 1407167695 | Jose Luis Diaz-miron | Surgery | 12631 E 17th Ave Rm 6111, Aurora, CO 80045-2527 | 2010-06-23 |
| 1568788594 | Patrick Sean Duffy | Surgery | 12631 E 17th Ave Ste C313, Aurora, CO 80045-2728 | 2010-04-15 |
| 1124340682 | Frank Leroy Frable | Surgery | 412 Sunnyside Avenue, Aurora, IN 47001-1526 | 2010-02-24 |
| 1104055128 | Vicente Valero IIi | Surgery | 12631 E 17th Ave Rm 5401, Mail Stop C-291, Aurora, CO 80045-2527 | 2009-07-12 |
| 1295977577 | Kirsten Ann Freeman | Surgery | 12631 E. 17th Place, Aurora, CO 80045 | 2009-04-01 |
| 1457523441 | Southeast Denver Acute Surgical Consultants,llc | Surgery | 17354 E Weaver Dr, Aurora, CO 80016-3189 | 2008-03-31 |
| Find all providers in AURORA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.