MRS. MALISSA KAY PAXTON (NPI# 1144321902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144321902 |
| Entity Type | Individual |
| Full Name | MRS. MALISSA KAY PAXTON |
| Credential | RPAC |
| Practice Address |
606 Mulberry Rd Derby KS 67037-3532 |
| Mailing Address |
1305 Parkwood Ct Derby KS 67037-8897 |
| Practice Telephone | 3167883787 |
| Practice Fax Number | 3167886930 |
| Mailing Telephone | 3167890240 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2013-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
15-00798 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | RAILROAD MEDICARE | P00099501 | 01 |
| KS | KS ST BOARD LICENSE | 15-00798 | 01 |
| Street Address |
606 MULBERRY RD |
| City | DERBY |
| State | KS |
| Zip Code | 67037-3532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144215278 | Amy Meek | Marriage & Family Therapist | 606 Mulberry Rd, Derby, KS 67037-3532 | 2005-09-14 |
| 1124181573 | Catherine Elizabeth Vitosh | Family Medicine | 606 Mulberry Rd, Derby, KS 67037-3532 | 2006-12-18 |
| 1124129911 | Edwin Lysle Price | Physician Assistant | 606 Mulberry Rd, Derby, KS 67037-3532 | 2006-09-26 |
| 1659472306 | Tanglewood Family Medical Center Pa | Family Medicine | 606 Mulberry Rd, Derby, KS 67037-3532 | 2006-09-26 |
| 1942275342 | Roger Lynn Thomas | Family Medicine | 606 Mulberry Rd, Derby, KS 67037-3532 | 2006-02-20 |
| 1922073337 | Glen Ray Patton | Family Medicine | 606 Mulberry Rd, Derby, KS 67037-3532 | 2006-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114409182 | Lori Renee Young | Counselor | 1144 N. Buckner, Derby, KS 67037 | 2018-09-05 |
| 1295227585 | James Todd Hawkins | Social Worker | 918 E Wedgewood Dr., Derby, KS 67037 | 2018-06-01 |
| 1518454842 | Rock Regional Hospital, LLC | General Acute Care Hospital | 3251 Rock Road, Derby, KS 67037 | 2018-04-23 |
| 1093161325 | Inspired Care LLC | In Home Supportive Care | 1400 E Warren Ave, Derby, KS 67037 | 2016-05-05 |
| 1083095970 | Emily O'dell | Family Medicine | 1640 E Tall Tree Rd, Derby, KS 67037 | 2015-06-16 |
| 1700264017 | Grant Snider Dds, LLC | Dentist | 2701 North Rock Road, Suite 600, Derby, KS 67037 | 2015-05-07 |
| 1629472691 | Anaidy Claudio | Social Worker | 265 W Village Lake Dr, Derby, KS 67037 | 2014-10-20 |
| 1396094470 | Derby Assisted Living, LLC | Assisted Living Facility | 719 N. Klein Circle, Derby, KS 67037 | 2012-09-05 |
| 1700104635 | Cynthia D Holcomb | Social Worker | 1721 E. Osage, Suite 300, Derby, KS 67037 | 2010-05-17 |
| 1295066215 | Traci Lynn Borland | Occupational Therapist | 731 Klein Circle, Derby, KS 67037 | 2010-01-15 |
| Find all providers in zip 67037 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184110660 | Astrid B Garza Posadas | Physician Assistant | 435 New Haven Ave Ste 2, Derby, CT 06418-2534 | 2018-07-08 |
| 1053638296 | Anjana Hemraj Porwal | Physician Assistant | 6970 Erie Rd Ste A, Derby, NY 14047-9591 | 2010-04-28 |
| 1396836714 | Debra Sullivan | Physician Assistant | 130 Divsiion Street, Derby, CT 06418 | 2006-09-28 |
| 1548713621 | Jocelyn Batista Mendes | Physician Assistant | 300 Seymour Ave Ste 102, Derby, CT 06418-1343 | 2016-07-26 |
| 1528310067 | Brenton Richard Dempsey | Physician Assistant | 130 Division St, Derby, CT 06418-1326 | 2012-10-08 |
| 1235443516 | Jenny L. Bronson | Physician Assistant | 130 Division St, Emergency Department, Derby, CT 06418-1326 | 2010-07-29 |
| 1124129911 | Edwin Lysle Price | Physician Assistant | 606 Mulberry Rd, Derby, KS 67037-3532 | 2006-09-26 |
| 1558380253 | David Maffei | Physician Assistant | 130 Division St, Derby, CT 06418-1326 | 2006-07-19 |
| 1912923889 | Mark Taafel | Physician Assistant | 130 Division St, Derby, CT 06418-1326 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487277703 | Riann Paige Tyree | Physician Assistant | 724 W Lincoln Ave, Greensburg, KS 67054-2522 | 2020-05-20 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1912408717 | Alyssa Ann Farrell | Physician Assistant | 235 W Vine St., Dighton, KS 67839 | 2018-02-27 |
| 1740790500 | Tory Christopher Fisher | Physician Assistant | 22450 S Harrison St Ste 100, Spring Hill, KS 66083-8882 | 2017-10-06 |
| 1619407871 | Lisa Raylene Steers | Physician Assistant | Po Box 10, Hugoton, KS 67951-0010 | 2017-06-19 |
| 1922547371 | Anna Ruelberg | Physician Assistant | 4921 W 18th Street, Lawrence, KS 66047-2090 | 2017-02-17 |
| 1255888319 | Morgan J Martin | Physician Assistant | 2610 N Woodlawn, Wichita, KS 67220 | 2016-09-07 |
| 1598135808 | Tracy Hoelting | Physician Assistant | 1150 N 75th Pl Ste 200, Kansas City, KS 66112-2466 | 2015-09-29 |
| 1437409901 | Crystal A Nelson | Physician Assistant | 9350 E 35th St N, Ste 101, Wichita, KS 67226 | 2012-09-12 |
| 1306195193 | Jessica M Hughbanks | Physician Assistant | 101 Industrial Rd, Hillsboro, KS 67063-9602 | 2012-09-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. MALISSA KAY PAXTON.
| 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.