Individual provider Active NPI

Clarke William Baxter, M.D.

  • Family Medicine Physician
  • Northeast Harbor, ME
National Provider Identifier
1487711909
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35053662 Issued in OH
Practice address
9 Kimball Rd
Northeast Harbor, ME 04662-6310
Phone
(207) 276-3331
Fax
(207) 276-8260
NPI assigned
Jan 3, 2007
Last updated
Mar 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35053662 OH Primary
Family Medicine Physician 207Q00000X MD20853 ME

Addresses

Primary practice location

9 Kimball Rd
Northeast Harbor, ME 04662-6310

Mailing address

4760 Red Bank Rd Ste 104
Cincinnati, OH 45227-1549
Phone (513) 271-4488

Other practice location 1

45 Herrick Rd
Southwest Harbor, ME 04679-4433
Phone (207) 244-5513

Other identifiers 1

IdentifierTypeStateIssuer
0687501MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160211002082 ME Practitioner - Family Practice 8527026509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

45 Herrick Rd
Southwest Harbor, ME 04679-4433
Phone (207) 244-5513

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions11
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35053662OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Coast Regional Health Facilities CurrentSince Jan 5, 2016 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince Jan 5, 2016 Accepting new patients
Mount Desert Island Hospital Past Accepting new patients
The Oak Family Medicine and Acupunture, Inc Family Medicine PastSince Jan 1, 1990 Accepting new patients
Mount Desert Island Hospital Past Accepting new patients

Locations

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/

Organizations & group practices 5

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 4

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1487711909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 RED BANK RD STE 104",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271549",
            "telephone_number": "513-271-4488",
            "fax_number": "513-271-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 KIMBALL RD",
            "city": "NORTHEAST HARBOR",
            "state": "ME",
            "postal_code": "046626310",
            "telephone_number": "207-276-3331",
            "fax_number": "207-276-8260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Herrick Rd",
            "address_purpose": "LOCATION",
            "city": "Southwest Harbor",
            "state": "ME",
            "postal_code": "046794433",
            "country_code": "US",
            "telephone_number": "207-244-5513",
            "fax_number": "207-664-5515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "CLARKE",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35053662",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD20853",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0687501",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northeast Harbor, ME

Sources for this page

Verify at the official NPI Registry.