Provider Demographics
NPI:1366202913
Name:SCHOLL, PAXTON CAROL
Entity type:Individual
Prefix:
First Name:PAXTON
Middle Name:CAROL
Last Name:SCHOLL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1511 LAKE POINTE WAY APT 4
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45459-5834
Mailing Address - Country:US
Mailing Address - Phone:937-467-4816
Mailing Address - Fax:
Practice Address - Street 1:1511 LAKE POINTE WAY APT 4
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459-5834
Practice Address - Country:US
Practice Address - Phone:937-467-4816
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-20
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.008925RX363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical