Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 157945 | MA |
Y | 207QA0401X | Family Doctor - Addiction Medicine | 157945 | MA |
NPI | 1407866619 |
---|---|
Provider Name | Jeffrey D Baxter |
First Address | Worcester, MA 01608-2420 |
Second Address | Worcester, MA 01605-1906 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 21/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0003961 | NEIGHBORHOOD HEALTH PLAN (01) | MA |
0006767 | NHP-GROUP (01) | MA |
0103677 | UNITED HEALTH CARE (01) | MA |
042485308 | NETWORK HEALTH-GROUP (01) | MA |
1300709 | (05) | MA |
44499 | FALLON SELECT (01) | MA |
6032012002 | CIGNA (01) | MA |
99733701 | NETWORK HEALTH (01) | MA |
AA9738 | HARVARD PILGRIM (01) | MA |
G93775 | (02) | MA |
J22851 | BCBS (01) | MA |
Y10141 | BCBS-GROUP (01) | MA |