Provider Demographics
NPI:1144609561
Name:PAXTON, CLAIRE E (MD)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:E
Last Name:PAXTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:
Other - Last Name:DOLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:30 MEDICAL PARK
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003
Mailing Address - Country:US
Mailing Address - Phone:304-243-1250
Mailing Address - Fax:304-243-1518
Practice Address - Street 1:30 MEDICAL PARK
Practice Address - Street 2:SUITE 200
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003
Practice Address - Country:US
Practice Address - Phone:304-243-1250
Practice Address - Fax:304-243-1518
Is Sole Proprietor?:No
Enumeration Date:2015-05-19
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV28181208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0300308Medicaid