Janet Baxter

Individual provider Active NPI Family Medicine Physician · Moberly, MO

NPI 1609986991 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1609986991
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
R8J17 (MO)
Practice address
1600 N Morley St
Moberly, MO 65270-3666
Phone
(660) 263-1225
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R8J17MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Groups LC Family Medicine Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R8J17 MO Yes

Addresses

Primary practice location

1600 N Morley St
Moberly, MO 65270-3666

Mailing address

1600 N Morley St
Moberly, MO 65270-3666
Phone (660) 263-1225

Other providers in Moberly, MO

All providers in Moberly, MO · Family Medicine Physician in Missouri

Sources for this page

Verify at the official NPI Registry.