Leah Geneva Baxter, DO
Individual provider Active NPI Pediatrics Physician · Tulsa, OK
NPI 1336113281 · NPPES record last updated Nov 17, 2011
Key facts
- NPI
- 1336113281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 4052 (OK)
- Practice address
- 7723 E 91St St
Tulsa, OK 74133-6053 - Phone
- (918) 895-7808
- Fax
- (918) 895-7807
- NPI assigned
- Feb 16, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220310000112 | TX | Practitioner - Osteopathic Manipulative Medicine | 6204869803 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4052 | OK | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current |
Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current |
Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Past | Accepting new patients |
Locations
859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271
1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201
1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192
900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500
100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100
19600 E Ross St
Tahlequah, OK 74464
Phone (539) 234-1000
Dept 2269
Tulsa, OK 74182
27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4052 | OK | Yes |
Addresses
Primary practice location
7723 E 91St St
Tulsa, OK 74133-6053
Mailing address
6528 E 101St St
PMB 431 Suite D1
Tulsa, OK 74133-6724
Phone (918) 895-7808
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200062360A | Medicaid | OK |
Other names
- Leah Geneva Newman
Other providers in Tulsa, OK
- Catherine Bausley
- Carlos Bautista Enrique
- Amber Bautista
- Janet Bautista
- Brandi Baxter
- Michael Alan Baxter
- Bayada Home Health Care, Inc.
- Braden Bayless
- Molly Anne Bayless
- Morgan Bayouth
All providers in Tulsa, OK · Pediatrics Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.