NPIMap

Individual provider Active NPI

Brian A Baxter, D.O.

  • Family Medicine Physician
  • Sandusky, OH
National Provider Identifier
1649220450
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35063187 Issued in OH
Practice address
1326 E Perkins Ave
Sandusky, OH 44870-5025
Phone
(419) 625-0654
Fax
(419) 621-1276
NPI assigned
May 11, 2006
Last updated
Sep 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35063187 OH Primary

Addresses

Primary practice location

1326 E Perkins Ave
Sandusky, OH 44870-5025

Mailing address

PO Box 378
Sandusky, OH 44871-0378
Phone (419) 609-1112

Other identifiers 2

IdentifierTypeStateIssuer
080171555OtherOHMEDICARE RAILROAD
0918565MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070727000012 OH Practitioner - Family Practice 5799689139 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Ohio Medical Specialists,LLCGroup PAC ID 2769386192, shared by 44 NPIs, 252 clinicians

Practice addresses (Care Compare)

1326 E Perkins Ave
Sandusky, OH 44870-5025
Phone (419) 625-0654

2500 W Strub Rd
Suite 120
Sandusky, OH 44870-5390
Phone (419) 502-5932

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35063187OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Medical Specialists LLC Family Medicine CurrentSince May 30, 2001 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince Jan 11, 2016 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince May 30, 2001 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1326 E Perkins Ave
Sandusky, OH 44870
Phone (419) 625-0654

2500 W Strub Rd
Ste 120
Sandusky, OH 44870
Phone (419) 502-5932

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

Interoperability endpoints

  • Direct secure messaging: bbaxter19946@nomshealthcare.direct-ci.com

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 11

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1649220450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448710378",
            "telephone_number": "419-609-1112",
            "fax_number": "419-609-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 E PERKINS AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705025",
            "telephone_number": "419-625-0654",
            "fax_number": "419-621-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "BRIAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35063187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080171555",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0918565",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.