Individual provider Active NPI

Jonathon Baxter, PA-C

  • Physician Assistant
  • Ionia, MI
National Provider Identifier
1417423526
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601008815 Issued in MI
Practice address
550 E Washington St
Ionia, MI 48846-2202
Phone
(616) 523-1630
NPI assigned
Oct 16, 2018
Last updated
Oct 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601008815 MI Primary

Addresses

Primary practice location

550 E Washington St
Ionia, MI 48846-2202

Mailing address

4100 Stillbrook LN
Dewitt, MI 48820-7889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20181120002755 MI Practitioner - Physician Assistant 6406100817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sparrow Ionia HospitalGroup PAC ID 0042118887, shared by 4 NPIs, 42 clinicians

Practice addresses (Care Compare)

550 E Washington St
Ionia, MI 48846-2202

550 E Washington St FL
1 Sparrow Medical Group Gastroenterology Io
Ionia, MI 48846-2202
Phone (517) 253-6320

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Ionia Hospital CurrentSince Nov 15, 2018 Accepting new patients
Sparrow Ionia Hospital CurrentSince Nov 15, 2018 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

102 S 3rd St
Ste 100
Carson City, MI 48811
Phone (989) 584-1308

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

550 E Washington St
Fl 2
Ionia, MI 48846
Phone (616) 523-1600

Interoperability endpoints

  • Direct secure messaging: jbaxter70005@sparrowdirecthie.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1417423526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 STILLBROOK LN",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488207889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E WASHINGTON ST",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488462202",
            "telephone_number": "616-523-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "JONATHON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ionia, MI

Sources for this page

Verify at the official NPI Registry.