BLAISE W BAXTER MD NPI 1487681342

NPI Information

  • NPI: 1487681342
  • Provider Name: BLAISE W BAXTER, MD
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1100 VAN NESS AVE
    SAN FRANCISCO, CA
    ZIP 94109
  • Phone: (415) 600-7887

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NPI Details

Blaise W Baxter, MD is a vascular and interventional radiology radiology in San Francisco, CA with 38 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Blaise W Baxter, MD NPI is 1487681342. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DALHOUSIE UNIVERSITY, FACULTY OF MEDICINE
Graduation Year:1988

The provider's business location address is:

1100 VAN NESS AVE
SAN FRANCISCO, CA
ZIP 94109-978
Phone: (415) 600-7887
Fax: (415) 369-1395

The NPI 1487681342 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)

The enumeration date for this NPI number is 6/27/2006 and was last updated on 7/7/2023.

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
12085R0202XRadiologyDiagnostic Radiology31416TENNESSEENo
22085R0202XRadiologyDiagnostic RadiologyC171504CALIFORNIANo
32085R0204XRadiologyVascular & Interventional RadiologyMD19382RHODE ISLANDNo
42085R0204XRadiologyVascular & Interventional RadiologyMD468416PENNSYLVANIAYes

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
1C171504OTHERCALIFORNIASTATE MEDICAL LICENSE

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: 11/21/2025

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