Healthcare Provider Details

I. General information

NPI: 1144609561
Provider Name (Legal Business Name): CLAIRE E PAXTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CLAIRE DOLAN MD

II. Dates (important events)

Enumeration Date: 05/19/2015
Last Update Date: 06/04/2020
Certification Date: 06/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 MEDICAL PARK SUITE 200
WHEELING WV
26003
US

IV. Provider business mailing address

30 MEDICAL PARK SUITE 200
WHEELING WV
26003
US

V. Phone/Fax

Practice location:
  • Phone: 304-243-1250
  • Fax: 304-243-1518
Mailing address:
  • Phone: 304-243-1250
  • Fax: 304-243-1518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number28181
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: