Active NPI
Robert S. Baxley, M.D.
- Psychiatry Physician
- Spokane, WA
National Provider Identifier
1699853093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD00018947
- Practice address
- 105 W 8TH Ave Ste 510
Spokane, WA 99204-2312 - Phone
- (509) 838-6236
- Fax
- (509) 838-3450
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD00018947 | WA | Primary |
Addresses
Primary practice location
105 W 8TH Ave Ste 510
Spokane, WA 99204-2312
Mailing address
105 W 8TH Ave Ste 510
Spokane, WA 99204-2312
Phone (509) 838-6236
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0045633 | Other | WA | LABOR AND INDUSTRIES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00018947 | WA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443398400000",
"number": "1699853093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 W 8TH AVE STE 510",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042312",
"telephone_number": "509-838-6236",
"fax_number": "509-838-3450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W 8TH AVE STE 510",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042312",
"telephone_number": "509-838-6236",
"fax_number": "509-838-3450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAXLEY",
"first_name": "ROBERT",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2015-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD00018947",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0045633",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.