# DR. SCOTT A PAXTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1548246242
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 1800 | WI | — |
| 207Q00000X | Family Medicine Physician | 5101013909 | MI | — |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | 1800 | WI | Yes |

## Other

- **Enumeration date:** 12/15/2005
- **Last updated:** 01/03/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0858207125 | BCBS INDIVIDUAL | MI |
| 05 | — | 100218169 | — | WI |
| 05 | — | 1548246242 | — | MI |
| 01 | — | 1800 | STATE LICENSE | WI |
| 01 | — | 700H219150 | BLUE SHIELD | MI |