JEFFREY D BAXTER FAMILY PRACTICE NPI 1407866619

NPI Information

NPI: 1407866619
Provider Name: JEFFREY D BAXTER, FAMILY PRACTICE
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
585 LINCOLN ST
WORCESTER, MA
ZIP 01605
Phone: (508) 831-0045
Get Directions

Jeffrey D Baxter, FAMILY PRACTICE is an addiction medicine family medicine in Worcester, MA with 28 years of experience. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. Jeffrey D Baxter, FAMILY PRACTICE NPI is 1407866619. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1996

The provider's business location address is:

585 LINCOLN ST
WORCESTER, MA
ZIP 01605-906
Phone: (508) 831-0045
Fax: (508) 831-0074

The NPI 1407866619 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 9/21/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		157945	MASSACHUSETTS	No
2	207QA0401X	Family Medicine	Addiction Medicine	157945	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	44499	OTHER	MASSACHUSETTS	FALLON SELECT
2	G93775	MEDICARE OSCAR/CERTIFICATION	MASSACHUSETTS
3	0006767	OTHER	MASSACHUSETTS	NHP-GROUP
4	J22851	OTHER	MASSACHUSETTS	BCBS
5	6032012002	OTHER	MASSACHUSETTS	CIGNA
6	0103677	OTHER	MASSACHUSETTS	UNITED HEALTH CARE
7	1300709	MEDICAID	MASSACHUSETTS
8	042485308	OTHER	MASSACHUSETTS	NETWORK HEALTH-GROUP
9	G93775	MEDICARE UPIN	MASSACHUSETTS
10	Y10141	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS	PART B-GROUP
11	A29631	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS	PART B
12	221804	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS	PART A-GROUP
13	0003961	OTHER	MASSACHUSETTS	NEIGHBORHOOD HEALTH PLAN
14	Y10141	OTHER	MASSACHUSETTS	BCBS-GROUP
15	AA9738	OTHER	MASSACHUSETTS	HARVARD PILGRIM
16	99733701	OTHER	MASSACHUSETTS	NETWORK HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »