Individual provider Active NPI

Erin E. Baxter, PA-C

  • Medical Physician Assistant
  • Broken Arrow, OK
National Provider Identifier
1164728366
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1983 Issued in OK
Practice address
1801 E Kenosha St
Broken Arrow, OK 74012-2098
Phone
(918) 449-4150
Fax
(918) 449-4107
NPI assigned
Feb 4, 2011
Last updated
Aug 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1983 OK Primary

Addresses

Primary practice location

1801 E Kenosha St
Broken Arrow, OK 74012-2098

Mailing address

6600 S Yale Ave Ste 1200
Tulsa, OK 74136-3333
Phone (918) 488-6653

Other practice location 1

10506 S Memorial Dr
Tulsa, OK 74133-6914
Phone (918) 943-1050

Other practice location 2

2950 S Elm Pl Ste 120
Broken Arrow, OK 74012-7816
Phone (918) 451-5191

Other practice location 3

102 S Main St
Sand Springs, OK 74063-6509
Phone (918) 246-5750

Other practice location 4

6160 S Yale Ave
Tulsa, OK 74136-1930
Phone (918) 495-2600

Other practice location 5

7858 S Olympia Ave
Tulsa, OK 74132-1857
Phone (918) 986-9250

Other names 1

  • Miss Erin Doane Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120724000380 OK Practitioner - Physician Assistant 9436315264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren Clinic IncGroup PAC ID 8820900293, 787 clinicians

Practice addresses (Care Compare)

6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3331
Phone (918) 488-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Variety Care, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ebaxter273671@direct.saintfrancis.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1164728366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE STE 1200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363333",
            "telephone_number": "918-488-6653",
            "fax_number": "918-488-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E KENOSHA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122098",
            "telephone_number": "918-449-4150",
            "fax_number": "918-449-4107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10506 S Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741336914",
            "country_code": "US",
            "telephone_number": "918-943-1050",
            "fax_number": "918-369-3209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2950 S Elm Pl Ste 120",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740127816",
            "country_code": "US",
            "telephone_number": "918-451-5191",
            "fax_number": "918-451-5272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 S Main St",
            "address_purpose": "LOCATION",
            "city": "Sand Springs",
            "state": "OK",
            "postal_code": "740636509",
            "country_code": "US",
            "telephone_number": "918-246-5750",
            "fax_number": "918-246-5714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6160 S Yale Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741361930",
            "country_code": "US",
            "telephone_number": "918-495-2600",
            "fax_number": "918-497-3007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7858 S Olympia Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741321857",
            "country_code": "US",
            "telephone_number": "918-986-9250",
            "fax_number": "918-986-9205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "ERIN",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-04",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "1983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "DOANE",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Broken Arrow, OK

Sources for this page

Verify at the official NPI Registry.