Kevin Baxter DO PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

KEVIN BAXTER DO PC

Practice address

10 Pier 1 Ste 301
Astoria, OR 97103-6338

Phone

(503) 741-3570

Fax

(503) 741-3569

NPI assigned

Nov 21, 2007

Organization subpart

No

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

Authorized official

Name

Jackilyn Baxter

Title

Corporate Secretary

Phone

(503) 741-3570

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allison Marie Mattila, DNP

  • Family Nurse Practitioner
  • Astoria, OR
  • NPI 1861680241
  NPD
• Patricia Jean Danforth, CANP

  • Adult Health Nurse Practitioner
  • Astoria, OR
  • NPI 1083759898
  NPD (past)
• Janice K Monroe, FNP

  • Family Nurse Practitioner
  • Madras, OR
  • NPI 1518074327
  NPD (past)

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1508047226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971030450",
            "telephone_number": "503-741-3570",
            "fax_number": "503-741-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PIER 1 STE 301",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971036338",
            "telephone_number": "503-741-3570",
            "fax_number": "503-741-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN BAXTER DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "JACKILYN",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "503-741-3570"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "DO24314",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Lorraine Kaufman, PH.D. LAC.
• Katharine Kavanaugh, M.S, RN
• Wendy Lea Keele
• Michele Elizabeth Kehoe, MA, QMHP
• Andrea Michelle Keller Blazic, D.O.
• Dean Christian Kienholz, CADC I, CGRM, CRM,
• Danielle Trause King, M.D.
• Jamie King
• Vincent Kirse, DMD
• Keith David Klatt, MD

• Primary Care Clinic/Center in Astoria, OR
• Providers in Astoria, OR by specialty
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.