Provider Demographics
NPI:1962440917
Name:PAXTON, LINDA ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:ANN
Last Name:PAXTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:344 UNIVERSITY BLVD W
Mailing Address - Street 2:STE 112
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-1948
Mailing Address - Country:US
Mailing Address - Phone:301-681-6730
Mailing Address - Fax:301-681-4268
Practice Address - Street 1:344 UNIVERSITY BLVD W
Practice Address - Street 2:STE 112
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-1948
Practice Address - Country:US
Practice Address - Phone:301-681-6730
Practice Address - Fax:301-681-4268
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00404652080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD84794OtherMAMSI MIDATLANTIC
DC5666-0003OtherBLUE CROSS/BLUE SHIELD
MD: 33192OtherPRIORITY PARTNERS MCO
495469OtherNCPPO
736741OtherAETNA